Lian-Kim Clark

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10191208 Issued in FL

Practice address

12519 SW 122ND Path
Miami, FL 33186-9045

Phone

(305) 299-6384

NPI assigned

Dec 2, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1982209557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12519 SW 122ND PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331869045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12519 SW 122ND PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331869045",
            "telephone_number": "305-299-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LIAN-KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10191208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Alan Clark, M.S., R.D.
• Curtis Robert Clark, P.T.
• Dwight Lamont Clark
• Gabriella Gonzalez Clark, PT, DPT
• John Elbert Clark, PHARMD
• Michael Joseph Clark
• Tahnee Morgan Clark, APRN
• Theodore Ronald Clark Jr.
• Dayna J Clarke-Cameron, M.D.
• Cheryl Cordia Clarke, ARNP

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, 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 Dec 2, 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.