Active NPI
Steven Weston-Clark, LPN
- Licensed Practical Nurse
- Fort Leavenworth, KS
National Provider Identifier
1760785240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 2009003462
- Practice address
- 830 Sabalu Rd
Fort Leavenworth, KS 66027-2315 - Phone
- (139) 758-3989
- NPI assigned
- Dec 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2009003462 | MO | Primary |
Addresses
Primary practice location
830 Sabalu Rd
Fort Leavenworth, KS 66027-2315
Mailing address
216 7TH St
Lot 9
Ferrelview, MO 64163-1418
Phone (319) 360-7944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009003462 | MO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1760785240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 7TH ST",
"address_2": "LOT 9",
"city": "FERRELVIEW",
"state": "MO",
"postal_code": "641631418",
"telephone_number": "319-360-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 SABALU RD",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "660272315",
"telephone_number": "139-758-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTON-CLARK",
"first_name": "STEVEN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MO",
"license": "2009003462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.