KRYSTA ELLEN CLARK
NPI 1487447736
Registered Nurse - Diabetes Educator in Poland, ME

Active since May 28, 2025
364 MAINE ST, POLAND, ME 04274(207) 312-8987 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krysta Ellen Clark NPPES

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

KRYSTA ELLEN CLARK (NPI 1487447736) is an individual diabetes educator provider in Poland, Maine, licensed in Maine (RN74374) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1487447736
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameKRYSTA ELLEN CLARK
Location Address364 MAINE STPoland, ME 04274-5109
Mailing Address364 Maine StPoland, ME 04274-5109 · (207) 312-8987
Sole ProprietorYes
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
NPI 1487447736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License Licensed in ME · RN74374
364 MAINE ST, Poland, ME 04274

Other Providers at the Same Location NPPES 5

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

Family Medicine
364 MAINE ST
POLAND, ME 04274
Family Medicine
364 MAINE ST
POLAND, ME 04274
Clinic/Center (Dental)
364 MAINE ST
POLAND, ME 04274
Family Medicine
364 MAINE ST
POLAND, ME 04274
Dentist (General Practice)
364 MAINE ST
POLAND SPRING, ME 04274

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 Krysta Clark's NPI number?

The NPI number for Krysta Clark is 1487447736. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Krysta Clark located?

Krysta Clark practices at 364 Maine St, Poland, ME 04274. The listed phone number is (207) 312-8987.

What is Krysta Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Krysta Clark was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.