Barbara J Clark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

047721 Issued in MO

Practice address

19550 E 39TH St S
Suite 100
Independence, MO 64057-2303

Phone

(816) 389-4130

Fax

(816) 389-4140

NPI assigned

Jun 7, 2006

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Anesthesia Services of Blue Springs

  • Critical Care Medicine (Anesthesiology) Physician
  • Kansas City, MO
  • NPI 1265525133
  NPD (past)
• Anesthesia Services of Eastern Jackson County, P.C.

  • Anesthesiology Physician
  • Lees Summit, MO
  • NPI 1699875740
  NPD (past)
• Truman Medical Centers, Inc.

  • Home Health Agency
  • Kansas City, MO
  • NPI 1487797759
  NPD (past)
• Westport Anesthesia Services of Missouri, PC

  • Anesthesiology Physician
  • Kansas City, MO
  • NPI 1912959032
  NPD (past)
• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1912947284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NE MULBERRY ST",
            "address_2": "SUITE 202",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-389-4130",
            "fax_number": "816-389-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-389-4130",
            "fax_number": "816-389-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "047721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912676244",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BCBS NUMBER",
            "identifier": "17957064",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO RR MEDICARE NUMBER",
            "identifier": "430046022",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249760B",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Cierpiot
• Djaris Cisneros
• City of Independence
• CJP Surgical LLC
• Marcia Clapp
• Breanna Faith Clark, MSN, FPMHNP
• Kyle A Clark, MS, LPC
• Laurie Beth Clark, CNP
• Madison Rae Clark
• Amelia Gail Clausen, LCSW

• All providers in Independence, MO
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.