Active NPI
Whitney L Clark, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1679419634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 116501
- Practice address
- 11422 Miracle Hills Dr Ste 401
Omaha, NE 68154-4420 - Phone
- (402) 590-2590
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 116501 | NE | Primary |
Addresses
Primary practice location
11422 Miracle Hills Dr Ste 401
Omaha, NE 68154-4420
Mailing address
4693 Pierce St
Omaha, NE 68106-2031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116501 | NE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitney L Clark Professional Services L.L.C. | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
- NPI 1588580088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782604800000",
"number": "1679419634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4693 PIERCE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11422 MIRACLE HILLS DR STE 401",
"city": "OMAHA",
"state": "NE",
"postal_code": "681544420",
"telephone_number": "402-590-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "WHITNEY",
"middle_name": "L",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-06-28",
"certification_date": "2026-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "116501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.