Tonya Renae Clark

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

225907 Issued in SC

Practice address

3 Charleston Center Dr
Charleston, SC 29401-1162

Phone

(843) 579-4500

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1659755825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MONTERAY CT",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457353",
            "telephone_number": "765-623-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHARLESTON CENTER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011162",
            "telephone_number": "843-579-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TONYA",
        "middle_name": "RENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "225907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason M Clark, MD
• Joshua Thomas Clark, MD
• Kevin Clark
• Lila R Clark, OTD, OTR/L
• Terry Lee Clark Jr., PA-C
• Callie Clarke
• Christina Anna Clarke, PHARM.D.
• Douglas Vinton Clarke Jr., M.D.
• Harry S Clarke Jr., MD, PHD
• Julie Clarke, RPH

• Community Health Registered Nurse in Charleston, SC
• Providers in Charleston, SC by specialty
• Community Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.