Active NPI
Anita Clark, RN
- Registered Nurse
- Festus, MO
National Provider Identifier
1962728097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 106261
- Practice address
- 227 E Main St
Festus, MO 63028-1952 - Phone
- (636) 296-6206
- Fax
- (636) 296-0102
- NPI assigned
- Apr 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 106261 | MO | Primary |
Addresses
Primary practice location
227 E Main St
Festus, MO 63028-1952
Mailing address
227 E Main St
Festus, MO 63028-1952
Phone (636) 296-6206
Other names 1
- Anita Cooper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1962728097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 E MAIN ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281952",
"telephone_number": "636-296-6206",
"fax_number": "636-296-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 E MAIN ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281952",
"telephone_number": "636-296-6206",
"fax_number": "636-296-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ANITA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "106261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "COOPER",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.