Adrienne Jenkins Clark, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

213822 Issued in LA

Practice address

10053 Florida Blvd Unit 627
Walker, LA 70785-5097

Phone

(225) 335-4085

NPI assigned

Jun 23, 2020

Last updated

Jun 29, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adrienne.clark@56257199144964.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighborhood Health Primary Care, LLC

  dba Neighborhood Health

  • Primary Care Clinic/Center
  • Prairieville, LA
  • NPI 1568825925
  Medicare reassignment NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1972129195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707850627",
            "telephone_number": "225-335-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10053 FLORIDA BLVD UNIT 627",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707855097",
            "telephone_number": "225-335-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ADRIENNE",
        "middle_name": "JENKINS",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Anthony Capace, P.D
• Melissa Lynn Carson, LPC
• Courtney Chambers, PLPC
• Children's International, LLC
• Michelle Marie Civello, N.P.
• Jordan Nicole Claverie, PT
• Holly Colclough, LMT
• Dennis Cutrer, RPH
• Jennifer J Daniel
• Claudia Noelle Carter Davis, D.D.S.

• Family Nurse Practitioner in Walker, LA
• Providers in Walker, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.