LARA CLARK
NPI 1447684832
Nurse Practitioner - Pediatrics in Tacoma, WA

Q: What is Lara Clark's NPI number?

The NPI number for Lara Clark is 1447684832. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Q: What is Lara Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lara Clark was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 21, 2013PECOS Enrolled

1112 S CUSHMAN AVE, TACOMA, WA 98405(253) 593-2144(253) 272-4125 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lara Clark NPPES

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

LARA CLARK (NPI 1447684832) is an individual pediatrics provider in Tacoma, Washington, licensed in Washington (AP60376142) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447684832

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLARA CLARK

Location Address1112 S CUSHMAN AVETacoma, WA 98405-3631

Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-3335 · Fax (206) 764-0489

Phone(253) 593-2144

Fax(253) 272-4125

Sole ProprietorNo

Enumeration DateAugust 21, 2013

✔ NPI 1447684832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in WA · AP60376142

1112 S CUSHMAN AVE, Tacoma, WA 98405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NAN SHIN MOYNIHAN DO

Pediatrics