TRI-LAKES FAMILY CARE
NPI 1134500739
Nurse Practitioner - Family in Branson, MO

Q: What is Carolyn Clark Fnp LLC's NPI number?

The NPI number for Carolyn Clark Fnp LLC is 1134500739. It was assigned to this organization in the NPPES registry on June 9, 2015. The provider is doing business as Tri-Lakes Family Care.

Q: What is Carolyn Clark Fnp LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 09, 2015CLIA 26D2103211 · Waiver

1232 BRANSON HILLS PKWY STE 106, BRANSON, MO 65616(417) 332-3639(417) 332-3641 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tri-lakes Family Care NPPES

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

TRI-LAKES FAMILY CARE (NPI 1134500739) is a healthcare organization registered as a family in Branson, Missouri and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Carolyn Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1134500739

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCAROLYN CLARK FNP LLC

Location Address1232 BRANSON HILLS PKWY STE 106Branson, MO 65616-4189

Mailing Address1232 Branson Hills Pkwy Ste 106Branson, MO 65616-4189 · (417) 332-3639 · Fax (417) 332-3641

Phone(417) 332-3639

Fax(417) 332-3641

Organization SubpartNo

Authorized OfficialCarolyn ClarkOwner · (417) 332-3639

Enumeration DateJune 9, 2015

✔ NPI 1134500739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2013024407

1232 BRANSON HILLS PKWY STE 106, Branson, MO 65616

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Other Names 1

Doing Business AsTri-lakes Family Care

Other Identifiers 1

Other1679915664MO · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2103211

Tri-Lakes Family Care · Branson, MO

Active · expires Oct 6, 2027

CLIA Number26D2103211

Laboratory TypePhysician Office

Certificate Effective DateOctober 7, 2025

Certificate Expiration DateOctober 6, 2027

Laboratory DirectorCarolyn G. Clark

Laboratory Phone(417) 332-3639

Laboratory LocationTri-Lakes Family Care1065 State Hwy 248, Branson, MO 65616

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Carolyn Clark Fnp LLC's NPI number?

The NPI number for Carolyn Clark Fnp LLC is 1134500739. It was assigned to this organization in the NPPES registry on June 9, 2015. The provider is doing business as Tri-Lakes Family Care.

Where is Carolyn Clark Fnp LLC located?

Carolyn Clark Fnp LLC is located at 1232 Branson Hills Pkwy Ste 106, Branson, MO 65616. The listed phone number is (417) 332-3639.

What is Carolyn Clark Fnp LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Carolyn Clark Fnp LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2103211) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolyn Clark Fnp LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Carolyn Clark Fnp LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Clark Fnp LLC was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.