Lynn Forsyth Clark, RN BA

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN163512 Issued in AZ

Practice address

1525 W Frye Rd
Chandler, AZ 85224-6178

Phone

(480) 812-7000

NPI assigned

Mar 30, 2011

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

Credentials

Bachelor of Arts, Registered Nurse

State licenses

Practice roles

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.

• Chandler Unified School District

  • Local Education Agency (LEA)
  • Chandler, AZ
  • NPI 1053457465
  NPD (past)

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1912296955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246178",
            "telephone_number": "480-812-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246178",
            "telephone_number": "480-812-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LYNN",
        "middle_name": "FORSYTH",
        "name_prefix": "Mrs.",
        "credential": "RN BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN163512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence E. Clark, MD
• Craig G. Clark, RPH
• Gunnar C Clark, MD
• Laurie Kathleen Clark, RDH
• Lisa M Clark, LAMFT
• Melissa A Clark, OT, CHT
• Ryan Roy Clark, MS
• Sandra Clark, FP
• Sonja Clark, RN
• Tara Clark, PMHDNP

• School Registered Nurse in Chandler, AZ
• Providers in Chandler, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.