Natalie Elaine Clark

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004900 Issued in MO

Practice address

Marionville Reorganized Dist 9
College & Dell
Marionville, MO 65705-0409

Phone

(417) 258-7755

Fax

(417) 258-2564

NPI assigned

Apr 13, 2007

Last updated

Feb 20, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Marionville Reorganized Dist 9

  • Local Education Agency (LEA)
  • Marionville, MO
  • NPI 1295876670

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1689898082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "address_2": "COLLEGE & DELL",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657050409",
            "telephone_number": "417-258-7755",
            "fax_number": "417-258-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARIONVILLE REORGANIZED DIST 9",
            "address_2": "COLLEGE & DELL",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657050409",
            "telephone_number": "417-258-7755",
            "fax_number": "417-258-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NATALIE",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477568505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Blumenthal, PHARM D
• Sarah Geltmacher, NP
• Rebecca Grace Mae White Henbest
• Hines Street Pharmacy 2 LLC (Marionville Health Services)
• Emily Erin Hood, MS CCC SLP
• Gail Irwin, EAL

• Occupational Therapist in Marionville, MO
• Providers in Marionville, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.