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STACEY CLARK
NPI 1356280226
Student in an Organized Health Care Education/Training Program in Zachary, LA

Active since March 26, 2026PECOS Enrolled
2513 N TURNBERRY AVE, ZACHARY, LA 70791(225) 301-7875 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Clark NPPES

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

STACEY CLARK (NPI 1356280226) is an individual student in an organized health care education/training program in Zachary, Louisiana and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356280226
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACEY CLARK
Location Address2513 N TURNBERRY AVEZachary, LA 70791-5403
Mailing Address2513 N Turnberry AveZachary, LA 70791-5403
Phone(225) 301-7875
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1356280226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2513 N TURNBERRY AVE, Zachary, LA 70791
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Stacey Clark's NPI number?

The NPI number for Stacey Clark is 1356280226. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Stacey Clark located?

Stacey Clark practices at 2513 N Turnberry Ave, Zachary, LA 70791. The listed phone number is (225) 301-7875.

What is Stacey Clark's specialty?

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

Is Stacey Clark enrolled in Medicare?

Yes. Stacey Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Clark was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.