Karlee Clark LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KARLEE CLARK LLC

Practice address

3866 Bay Wind Dr
Gulf Breeze, FL 32563-2992

Phone

(850) 748-0712

NPI assigned

Mar 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karlee Clark, ARNP

Title

Manager

Phone

(850) 898-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1962960369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3866 BAY WIND DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632992",
            "telephone_number": "850-748-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 BAY WIND DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632992",
            "telephone_number": "850-748-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLEE CLARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KARLEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-898-8000",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Hackel MD PA
• Jordan Jud, DPT, PT, ATC, LAT
• Sarah Newman Kalb, AP,LAC, MAOM
• Karen Cann
• Karen E Kennedy MD PA
• Thomas Michael Kasabian
• Julie Condon Kellen, PT
• Karen E Kennedy, M.D.
• Brooke Ann Kessinger, FNP-C
• Christopher David Key, PA

• Family Nurse Practitioner in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.