Kathy Lett Clark

Primary specialty

Perioperative Clinical Nurse SpecialistTaxonomy code 364SP2800X

License

1627811 Issued in CO

Practice address

340 Exempla Cir Ste 400
Lafayette, CO 80026-3384

Phone

(303) 550-0832

NPI assigned

Dec 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1669288981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800260803",
            "telephone_number": "303-550-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EXEMPLA CIR STE 400",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263384",
            "telephone_number": "303-550-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KATHY",
        "middle_name": "LETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "1627811",
            "primary": false
        },
        {
            "code": "364SP2800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "CO",
            "license": "1627811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa A Cismoski
• Citta Sana PLLC
• City of Lafayette
• CK Leasing Physician Services LLC
• Dawn M Clark
• Mary Denise Clark, CD(DONA)
• Nathan Clark
• Tara Clark, RN
• Claro Scientific Laboratories Corp (ClaroLabs)
• Barbara Anne Claus, OTR

• Clinical Nurse Specialist in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Clinical Nurse Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.