Tamika Clark, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2016041521 Issued in MO

Practice address

2811 Vine St
Kansas City, MO 64109-1339

Phone

(816) 405-0386

Fax

(510) 319-8402

NPI assigned

Dec 5, 2016

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 2

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Good Morning Health Corp

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1669183075

  KS

  Medicare reassignment NPD Authorized official
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO

  Medicare reassignment NPD
• Good Morning Homes Corp

  • Home Health Agency
  • Kansas City, MO
  • NPI 1508681271
  NPD Authorized official
• Kansas City Kidney Consultants, PA

  • Nephrology Physician
  • Kansas City, MO
  • NPI 1164528626

  KS

  Medicare reassignment
• KC Chauffeur LLC

  • Non-emergency Medical Transport (VAN)
  • Kansas City, MO
  • NPI 1336889088
  NPD (past) Authorized official

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1730623141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 VINE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091339",
            "telephone_number": "816-405-0386",
            "fax_number": "510-319-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 VINE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091339",
            "telephone_number": "816-405-0386",
            "fax_number": "510-319-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TAMIKA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016041521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730623141",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201153460C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Clark
• Kaley Clark
• Nicholas Clark, M.D.
• Samuel S Clark
• Stephanie Nicole Clark, M.D.
• Tanner Ireland Clark, DDS
• Toby Clark
• Carrie Clarke, M.D.
• Cary L Clarke, MD
• Megan Clarke

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.