KRISTAL CLARK
NPI 1124723192
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since March 31, 2023
5766 S SEMORAN BLVD, ORLANDO, FL 32822(802) 952-6666 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristal Clark NPPES

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

KRISTAL CLARK (NPI 1124723192) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1124723192
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTAL CLARK
Location Address5766 S SEMORAN BLVDOrlando, FL 32822-4818
Mailing Address5766 S Semoran BlvdOrlando, FL 32822-4818 · (802) 952-6666
Sole ProprietorNo
Enumeration DateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
NPI 1124723192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5766 S SEMORAN BLVD, Orlando, FL 32822

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.

Counselor (Mental Health)
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Case Management
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Social Worker
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Counselor (Mental Health)
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Counselor (School)
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Social Worker (School)
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Social Worker
5766 S SEMORAN BLVD
ORLANDO, FL 32822
Peer Specialist
5766 S SEMORAN BLVD
ORLANDO, FL 32822

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 Kristal Clark's NPI number?

The NPI number for Kristal Clark is 1124723192. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Kristal Clark located?

Kristal Clark practices at 5766 S Semoran Blvd, Orlando, FL 32822. The listed phone number is (802) 952-6666.

What is Kristal Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kristal Clark was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.