Christine M Clark, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP013453 Issued in PA

Practice address

205 Newtown Rd Ste 219
Warminster, PA 18974-5207

Phone

(215) 675-8847

Fax

(215) 675-6534

NPI assigned

Oct 13, 2014

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

Enrolled in PA

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Abington Memorial Hospital

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Abington, PA
  • NPI 1275575482
  Medicare reassignment NPD
• Einstein Community Health Associates, Inc

  • Family Medicine Physician
  • Phila, PA
  • NPI 1558316109
  Medicare reassignment NPD
• Einstein Community Health Associates, Inc

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1427662931
  NPD
• Womencare OB GYN, P.C.

  • Specialist
  • Willow Grove, PA
  • NPI 1881631166
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1700280245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NEWTOWN RD STE 219",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745207",
            "telephone_number": "215-675-8847",
            "fax_number": "215-675-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NEWTOWN RD STE 219",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745207",
            "telephone_number": "215-675-8847",
            "fax_number": "215-675-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP013453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102995687",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christ'S Home
• Brittany Viktoria Churchwell
• Christina Cicchetti-McDonald, PHARMACY TECHNICIAN
• Meaghan Christine Ciliberto, MA, CCC-SLP
• Citizen Home Care Agency LLC
• Classic Chiropractic LLC
• Megan Clawson, LPC
• Ronald Charles Clayton
• Roxanne Coffin, PMHNP-BC
• Maria Collins, MSSW, LSW

• Adult Health Nurse Practitioner in Warminster, PA
• Providers in Warminster, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.