Karrah Clark, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

204406 Issued in LA

Practice address

804 N Beech St
Tallulah, LA 71282-3809

Phone

(318) 574-1453

NPI assigned

Mar 29, 2019

Last updated

Mar 29, 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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karrah.clark.p1@direct.davidraineschc.nextgenshare.com

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.

• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1215933254
  Medicare reassignment NPD
• South Arkansas Childrens Coalition

  • Voluntary or Charitable Agency
  • El Dorado, AR
  • NPI 1629536461
  NPD Authorized official
• David Raines Community Health Center, Inc

  dba David Raines Community Health Center- Mobile Medical Unit #3

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1205721487
  NPD
• David Raines Community Health Center, Inc

  dba David Raines School Based Health Center- Rusheon Middle School

  • Federally Qualified Health Center (FQHC)
  • Bossier City, LA
  • NPI 1326883091
  NPD (past)
• David Raines Community Health Center, Inc.

  dba David Raines School Based Health Center-Oak Park

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1760042394
  NPD (past)
• David Raines Community Health Center, Inc.

  dba David Raines School Based Health Center-Walnut Hill

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1982379335
  NPD (past)
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tallulah, LA
  • NPI 1750311064

  Nurse Practitioner

  NPD (past)
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1871523266

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1699236794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 SOUTHFIELD CUTOFF",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303451",
            "telephone_number": "870-562-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N BEECH ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-574-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KARRAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "204406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mable Riggs Chandler
• Dawan Chase
• Christian Acres Youth Center
• Shastity Claiborne
• Dubachanette Clark
• Ashley Clay
• Timmy Lowell Cochran, COTA/L
• Cognitive Development (Seaside)
• Cognitive Development Center
• Cognitive Development Center of Monroe

• Pediatric Nurse Practitioner in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.