Andrea K Clark
Individual provider Active NPI Occupational Therapist · Hickman, NE
NPI 1982182309 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1982182309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2227 (NE)
- Practice address
- 920 Goldenrod LN
Hickman, NE 68372-9509 - Phone
- (402) 560-3651
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2227 | NE | MD | Chiropractor |
Interoperability endpoints
- clark.andrea@direct.2mycarefile.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2227 | NE | Yes |
Addresses
Primary practice location
920 Goldenrod LN
Hickman, NE 68372-9509
Mailing address
20318 180TH St
Rockwell, IA 50469-8680
Phone (402) 560-3651
Other practice location 1
11623 Arbor St Apt 201
Omaha, NE 68144-2981
Phone (402) 334-6088
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Clark.Andrea@direct.2mycarefile.org | Direct | MercyOne North Iowa |
Other providers in Hickman, NE
- Ciara Battin
- Kelsey Marisa Beck
- Bella Wellness & Aesthetics LLC
- Amber Lea Butzke
- Cedar Plains Family Medicine
- Community Memorial Hospital District
- Complete Chiropractic & Wellness Center of Hickman LLC
- Nellya G Demenko
- Denise K Douglas
- Elizabeth Anne Echternkamp
All providers in Hickman, NE · Occupational Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.