KATHLEEN A CLARK FNP
NPI 1245259167
Nurse Practitioner - Family in Bluffton, IN

Active since July 19, 2006
1100 S MAIN ST, BLUFFTON, IN 46714(260) 919-3900(260) 919-3913 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen A Clark Fnp NPPES

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

KATHLEEN A CLARK FNP (NPI 1245259167) is an individual family provider in Bluffton, Indiana, licensed in Indiana (74001171A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1245259167
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN A CLARKCredential: FNP
Location Address1100 S MAIN STBluffton, IN 46714-3615
Mailing Address1100 S Main StBluffton, IN 46714-3615 · (260) 919-3900 · Fax (260) 919-3913
Fax(260) 919-3913
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateNovember 4, 2015
NPI 1245259167 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 IN · 74001171A
1100 S MAIN ST, Bluffton, IN 46714

Other Identifiers 2

Medicare UPINP34495IN
Medicaid200334940IN

Other Providers at the Same Location NPPES 3

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1100 S MAIN ST
BLUFFTON, IN 46714
Preventive Medicine (Occupational Medicine)
1100 S MAIN ST
BLUFFTON, IN 46714
Home Health
1100 S MAIN ST
BLUFFTON, IN 46714

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 Kathleen Clark's NPI number?

The NPI number for Kathleen Clark is 1245259167. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kathleen Clark located?

Kathleen Clark practices at 1100 S Main St, Bluffton, IN 46714. The listed phone number is (260) 919-3900.

What is Kathleen Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathleen Clark was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.