Meshia Clark

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

514 Chickasawba St
Blytheville, AR 72315-2722

Phone

(870) 824-2268

Fax

(870) 824-2269

NPI assigned

Feb 18, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1730503475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 CHICKASAWBA ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152722",
            "telephone_number": "870-824-2268",
            "fax_number": "870-824-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 CHICKASAWBA ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152722",
            "telephone_number": "870-824-2268",
            "fax_number": "870-824-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1487 W Keiser Ave",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "AR",
            "postal_code": "723702806",
            "country_code": "US",
            "telephone_number": "870-622-0592",
            "fax_number": "870-622-0782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MESHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.