TAKISHA CLARK - NPI 1043182934 - Registered Nurse in Binghamton, NY

Q: What is Takisha Clark's NPI number?

The NPI number for Takisha Clark is 1043182934. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Q: What is Takisha Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Takisha Clark was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Takisha Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAKISHA CLARK (NPI 1043182934) is an individual registered nurse in Binghamton, New York, licensed in New York (978966) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1043182934

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameTAKISHA CLARK

Location Address425 ROBINSON STBinghamton, NY 13904-1735

Mailing Address4965 Stonebrooke DrValdosta, GA 31605-1226

Phone(607) 724-1391

Sole ProprietorYes

Enumeration DateSeptember 19, 2025

NPPES CertifiedSeptember 19, 2025

✔ NPI 1043182934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NY · 978966

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

425 ROBINSON ST, Binghamton, NY 13904

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAULINA BAJSAROWICZ M.D.

Psychiatry & Neurology (Geriatric Psychiatry)