Dawn Kindley Clark, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

830096 Issued in NV

Practice address

6965 S Rainbow Blvd Ste 130
Las Vegas, NV 89118-3280

Phone

(702) 202-2012

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carefirst Urgent Care LLCGroup PAC ID 3779901939, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carefirst Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1013527845
  Medicare reassignment Care Compare group NPD
• Liggons & Clark Healthcare Group PLLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1104760834

  Family

  NPD Authorized official
• Clinic 21 of Nevada Zyniewicz PLLC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1437548906
  NPD (past)
• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1508637356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34353",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891334353",
            "telephone_number": "336-688-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 S RAINBOW BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183280",
            "telephone_number": "702-202-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8337 Brittany Harbor Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891287493",
            "country_code": "US",
            "telephone_number": "336-688-9692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DAWN",
        "middle_name": "KINDLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "830096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coi Clark
• Connie Clark
• Cornell M Clark, M.D.
• Dallas Clark
• David Lewis Clark
• Dequita Trenice L Clark
• Ebony Clark
• Ebony Clark
• Erica Clark
• Esmeralda Araceli Clark, APRN

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.