Kyia Vance-Clark

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

275 N Oakhurst Dr Apt 23
Aurora, IL 60504-6631

Phone

(630) 776-4964

NPI assigned

Jul 12, 2025

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1932090438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601210381",
            "telephone_number": "630-776-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N OAKHURST DR APT 23",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046631",
            "telephone_number": "630-776-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE-CLARK",
        "first_name": "KYIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "belovedfood@belovedfood.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "275 N Oakhurst Dr Apt 23",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605046631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Connie Vallely, R.N
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• Valley Women'S Health S.C
• Jennifer Vallone
• Blanca Isabel Valtierrez
• Paige Frances Vanden Houten, MHP BSW
• Karon Coles Vangelder, LCSW
• Erin Shea Vanhandel, M.S. C.C.C. S.L.P.
• Patrice M Vanmaldegiam, COTA/L
• Claire Vantreeck

• Contractor in Aurora, IL
• Providers in Aurora, IL by specialty
• Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.