Monique Clark

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

155 N 1St St
Central Point, OR 97502-2011

Phone

(541) 423-1361

NPI assigned

Oct 15, 2019

Last updated

Oct 15, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Rogue Valley Council of Governments

  • Home Delivered Meals
  • Central Point, OR
  • NPI 1962974188
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1669014312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N 1ST ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022011",
            "telephone_number": "541-423-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N 1ST ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022011",
            "telephone_number": "541-423-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Point MRI, LLC (Southern Oregon Open MRI)
• Central Point School District #6
• Saul Adrian Cervantes
• Stephanie Kuan Chan, PHARMD
• Summer Chaplin, RN
• Jennifer E Clear Bell, LMT
• Britney Rennee Coleman
• Timothy William Coleman
• Mary Katherine Collman
• Columbacare Services (Twin Pines)

• Health Educator in Central Point, OR
• Providers in Central Point, OR by specialty
• Health Educator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.