Cindy Ann Clark

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

TS0200X Issued in OK

Practice address

15481 N Jarvis Rd
Tahlequah, OK 74464-0233

Phone

(918) 456-5131

NPI assigned

Jun 15, 2015

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1922489095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15481 N JARVIS RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744640233",
            "telephone_number": "918-456-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15481 N JARVIS RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744640233",
            "telephone_number": "918-456-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CINDY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "TS0200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nolan Chojnacki, LPC
• Jaclyn Michelle Chrestman, M.S.
• Amy E Christensen, APRN, CNM, WHNP-BC
• Sheri D Christian-Armstrong, DO
• Katelynn Jordan Churches
• Jon Douglas Clark
• Michael P Clark
• Rachel Elizabeth Clinton
• CMG Family Clinic LLC
• Chyla Cockrum

• Case Manager/Care Coordinator in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.