Kala Clark, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G177448 Issued in IA

Practice address

216 W Division St
Clarinda, IA 51632-2509

Phone

(712) 542-2388

Fax

(712) 542-2984

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 2024By 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 IA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Waubonsie Mental Health Center IncGroup PAC ID 1658262415, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waubonsie Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Clarinda, IA
  • NPI 1376698837
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Care Compare affiliation

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1851161228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W DIVISION ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322509",
            "telephone_number": "712-542-2388",
            "fax_number": "712-542-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W DIVISION ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322509",
            "telephone_number": "712-542-2388",
            "fax_number": "712-542-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KALA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G177448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarinda Regional Health Center Ambulance
• Clarinda Regional Health Center ER
• Clarinda Youth Corporation (Clarinda Academy)
• Clarinda Youth Corporation (Clarinda Academy)
• Clarinda Youth Corporation
• Shelley Renee Clayton, LCSW
• Robert Willard Clemons Jr., MD
• Jessica Coburn
• Ann Marie Davison, R.N.
• Lauren Rae Davison, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Clarinda, IA
• Providers in Clarinda, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.