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MRS. THERESA ANN CLARK FNP-BC
NPI 1548893506
Nurse Practitioner - Family in Elkhart, IN

Active since February 18, 2020
22818 OLD US 20, ELKHART, IN 46516(574) 389-1231 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Jul 21, 2020, Feb 18, 2020 (3 updates tracked since 2020).

About Mrs. Theresa Ann Clark Fnp-bc NPPES

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

MRS. THERESA ANN CLARK FNP-BC (NPI 1548893506) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71010178A) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1548893506
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THERESA ANN CLARKCredential: FNP-BC
Location Address22818 OLD US 20Elkhart, IN 46516-9150
Mailing Address69014 Tamarack RdWalkerton, IN 46574-9735
Phone(574) 389-1231
Sole ProprietorNo
Enumeration DateFebruary 18, 2020
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1548893506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71010178A
22818 OLD US 20, Elkhart, IN 46516
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Other Providers at the Same Location NPPES 8

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

MS. JUDITH LYNN SMITH PA-C
Physician Assistant
22818 OLD US 20, COMMUNITY OCCUPATIONAL MEDICINE
ELKHART, IN 46516
Elkhart County (574) 389-1231
BEACON OCCUPATIONAL HEALTH, LLC
Clinic/Center
22818 OLD US 20
ELKHART, IN 46516
Elkhart County (574) 389-1231
SARAH ELIZABETH WRIGHT NP
Nurse Practitioner
22818 OLD US 20
ELKHART, IN 46516
Elkhart County (574) 389-1231
COMMUNITY OCCUPATIONAL MEDICINE, LLC
Clinic/Center (Occupational Medicine)
22818 OLD US 20
ELKHART, IN 46516
Elkhart County (574) 389-1231
VIVIAN U ONUNKWO MD
Preventive Medicine (Occupational Medicine)
22818 OLD US 20
ELKHART, IN 46516
Elkhart County (574) 389-1231
MRS. ANDREA KARAFA
Nurse Practitioner (Family)
22818 OLD US 20
ELKHART, IN 46516
Elkhart County (574) 389-1231
STEPHEN MORRELL LANTZ MD
Preventive Medicine (Occupational Medicine)
22818 OLD US 20
ELKHART, IN 46516
Elkhart County (574) 389-1231
MR. JAMES PETER SHAY PT
Physical Therapist
22818 OLD US 20
ELKHART, IN 46516
Elkhart County (574) 389-1231

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 Theresa Clark's NPI number?

The NPI number for Theresa Clark is 1548893506. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Theresa Clark located?

Theresa Clark practices at 22818 Old Us 20, Elkhart, IN 46516. The listed phone number is (574) 389-1231.

What is Theresa Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Theresa Clark was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.