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LATISHA CLARK
NPI 1104797802
Home Health Aide in Bellevue, NE

Active since September 15, 2025
12901 S 29TH PL, BELLEVUE, NE 68123(402) 312-8029 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latisha Clark NPPES

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

LATISHA CLARK (NPI 1104797802) is an individual home health aide in Bellevue, Nebraska and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1104797802
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameLATISHA CLARK
Location Address12901 S 29TH PLBellevue, NE 68123-3218
Mailing Address12901 S 29th PlBellevue, NE 68123-3218 · (402) 312-8029
Phone(402) 312-8029
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1104797802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
12901 S 29TH PL, Bellevue, NE 68123
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latisha Clark's NPI number?

The NPI number for Latisha Clark is 1104797802. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Latisha Clark located?

Latisha Clark practices at 12901 S 29th Pl, Bellevue, NE 68123. The listed phone number is (402) 312-8029.

What is Latisha Clark's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Latisha Clark was last updated on September 15, 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.