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SCOTTY LEE CLARK
NPI 1336007129
Technician - Personal Care Attendant in Omaha, NE

Active since January 12, 2026
1207 S 13TH ST, OMAHA, NE 68108(531) 375-5538 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scotty Lee Clark NPPES

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

SCOTTY LEE CLARK (NPI 1336007129) is an individual personal care attendant in Omaha, Nebraska and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1336007129
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameSCOTTY LEE CLARK
Location Address1207 S 13TH STOmaha, NE 68108-3501
Mailing Address1207 S 13th StOmaha, NE 68108-3501 · (531) 375-5538
Phone(531) 375-5538
Sole ProprietorNo
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1336007129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
1207 S 13TH ST, Omaha, NE 68108
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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.

PATRICIA JEAN SPARKS
Home Health Aide
1207 S 13TH ST
OMAHA, NE 68108
Douglas County (531) 255-7153
ANDRE ROBINSON
Home Health Aide
1207 S 13TH ST
OMAHA, NE 68108
Douglas County (531) 375-5538
JOY LYNN BORSAK
Home Health Aide
1207 S 13TH ST
OMAHA, NE 68108
Douglas County (531) 375-5538
JAMIEONNA GAYLE MOSS
Technician (Personal Care Attendant)
1207 S 13TH ST
OMAHA, NE 68108
Douglas County (531) 375-5538
SABRINA SMITH
Home Health Aide
1207 S 13TH ST
OMAHA, NE 68108
Douglas County (531) 375-5538
ALLISHA LUCAS
Home Health Aide
1207 S 13TH ST
OMAHA, NE 68108
Douglas County (531) 375-5538
FELICIA WILLIAMS
Home Health Aide
1207 S 13TH ST
OMAHA, NE 68108
Douglas County (531) 375-5538
NASTASHIA A DUTTON BURTIN
Technician (Personal Care Attendant)
1207 S 13TH ST
OMAHA, NE 68108
Douglas County (531) 375-5538

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 Scotty Clark's NPI number?

The NPI number for Scotty Clark is 1336007129. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Scotty Clark located?

Scotty Clark practices at 1207 S 13th St, Omaha, NE 68108. The listed phone number is (531) 375-5538.

What is Scotty Clark's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Scotty Clark was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.