Norton Clark Physician Practices, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28168470A Issued in IN

Legal business name

NORTON CLARK PHYSICIAN PRACTICES, LLC

Practice address

2205 Greentree N
Clarksville, IN 47129-8957

Phone

(812) 283-4441

Fax

(812) 288-2605

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Shelley Gast

Title

VP Managed Care

Phone

(502) 559-9409

Specialties & licenses 1

Addresses

Other names 1

• Havens Medical Group Doing business as

Tax ID family

Norton Clark Practices LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Norton Clark Physician Practices, LLC

  • Urgent Care Clinic/Center
  • Sellersburg, IN
  • NPI 1063896637
  NPD tax ID
• Norton Clark Physician Practices, LLC

  • Family Medicine Physician
  • Jeffersonville, IN
  • NPI 1902323009
  NPD tax ID

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1679017552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 OLYMPIA PARK PLZ STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 GREENTREE N",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471298957",
            "telephone_number": "812-283-4441",
            "fax_number": "812-288-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON CLARK PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "VP MANAGED CARE",
        "authorized_official_telephone_number": "502-559-9409"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28168470A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havens Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh Ann Nieto, M.D.
• Alexandria Nolan
• Kathryn Nolen
• Lisa A Norfleet, MD
• Norton Clark Physician Practices, LLC
• Norton Healthcare-Indiana Inc
• Norton Occupational Medicine Associates, LLC
• Nuyu Counseling LLC
• McKenna P O'Hare, RBT
• Cassandra Danae Oakley, NP

• Family Nurse Practitioner in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.