Kamila Clark

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1640123 Issued in CO

Practice address

7171 S Cherokee TRL
2232
Aurora, CO 80016-2287

Phone

(818) 429-1070

NPI assigned

Aug 23, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1851846596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 S CHEROKEE TRL",
            "address_2": "2232",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162287",
            "telephone_number": "818-429-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 S CHEROKEE TRL",
            "address_2": "2232",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162287",
            "telephone_number": "818-429-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1640123",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "1001115067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Clark
• Jeffrey Kenneth Clark, PHARMD
• Jenna Clark, PHARMD
• Jessica Nicole Clark, DPT
• Justin Clark, PHARM.D.
• Mallory Clark, D.O.
• Melissa Anne Clark, PHARM D
• Meredith Rose Clark
• Randall Clark, MD
• Richard Todd Clark, M.D.

• Registered Nurse in Aurora, CO
• Providers in Aurora, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.