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KIMBERLY NICOLE CLARK
NPI 1548741358
Counselor - Professional in Lawton, OK

Active since August 29, 2018PECOS Enrolled
4202 SW LEE BLVD, LAWTON, OK 73505(575) 642-3673 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 20, 2020, Jul 17, 2020, Aug 29, 2018 (3 updates tracked since 2018).

About Kimberly Nicole Clark NPPES

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

KIMBERLY NICOLE CLARK (NPI 1548741358) is an individual professional provider in Lawton, Oklahoma and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548741358
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY NICOLE CLARK
Location Address4202 SW LEE BLVDLawton, OK 73505-8300
Mailing Address85 Quail Creek DrLawton, OK 73507-9026
Phone(575) 642-3673
Sole ProprietorNo
Enumeration DateAugust 29, 2018
Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1548741358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4202 SW LEE BLVD, Lawton, OK 73505
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Secondary Practice Locations 2

Location 11602 SW 82nd StLawton, OK 73505-9012 · Phone (580) 510-2754
Location 2305 NW Sheridan Rd Unit CLawton, OK 73505-6520 · Phone (575) 642-3673

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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)

Kimberly Nicole 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.

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.

DR. BRIAN GILLAM BIRDWELL M.D.
Internal Medicine
4202 SW LEE BLVD
LAWTON, OK 73505
Comanche County (580) 248-9966
LAURA WHITE DO
Pediatrics
4202 SW LEE BLVD, BUILDING B, SUITE 100
LAWTON, OK 73505
Comanche County (580) 368-0808
DR. DEBRA ANNE CRAWFORD DO
Obstetrics & Gynecology (Hospice and Palliative Medicine)
4202 SW LEE BLVD, BLDG B, SUITE A
LAWTON, OK 73505
Comanche County (580) 699-8020
COMANCHE COUNTY HEALTHCARE CORPORATION
Internal Medicine
4202 SW LEE BLVD, BLDG A STE 104
LAWTON, OK 73505
Comanche County (580) 357-9984
CALEY FILIPEK LPC
Counselor (Professional)
4202 SW LEE BLVD
LAWTON, OK 73505
Comanche County (405) 424-7711
JAMES SYLVESTER CASEBEER DPH
Pharmacist (Pharmacotherapy)
4202 SW LEE BLVD, BLDG B
LAWTON, OK 73505
Comanche County (580) 248-0808
LEONOR WATKINS P.T.
Physical Therapist
4202 SW LEE BLVD, BLDG B, SUITE 202
LAWTON, OK 73505
Comanche County (580) 248-5668
ASHLEY WILLIAMS MSBS, LMFT-C
Counselor (Mental Health)
4202 SW LEE BLVD
LAWTON, OK 73505
Comanche County (405) 424-7711

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 Kimberly Clark's NPI number?

The NPI number for Kimberly Clark is 1548741358. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Kimberly Clark located?

Kimberly Clark practices at 4202 SW Lee Blvd, Lawton, OK 73505. The listed phone number is (575) 642-3673.

What is Kimberly Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kimberly Clark enrolled in Medicare?

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

What insurance does Kimberly Clark accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and Oscar Insurance Company list Kimberly Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Clark was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.