SANDRA CLARK RT(R)
NPI 1578692463
Radiologic Technologist - Radiography in Water Valley, MS
NPI Status: Active since March 05, 2007
Contact Information
139 COUNTY ROAD 379
WATER VALLEY, MS
ZIP 38965
Phone: (662) 514-5215
- Individual
- Female
- Radiologic Technologist
- Radiography
About SANDRA CLARK
This page provides the complete NPI Profile along with additional information for Sandra Clark, a provider established in Water Valley, Mississippi with a medical specialization in Radiologic Technologist, focusing in radiography . The healthcare provider is registered in the NPI registry with number 1578692463 assigned on March 2007. The practitioner's primary taxonomy code is 2471C3402X with license number MRT2279 (MS). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1578692463
- Provider Name
- SANDRA CLARK RT(R)
- Other Name
- JASON CLARK RT
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 139 COUNTY ROAD 379 WATER VALLEY, MS 38965
- Location Phone
- (662) 514-5215
- Mailing Address
- 139 COUNTY ROAD 379 WATER VALLEY, MS 38965
- Mailing Phone
- (662) 514-5215
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-05-2007
- Last Update Date
- 07-09-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiologic Technologist Radiography
- Taxonomy Code
- 2471C3402X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- MRT2279
- License State
- MS
- Taxonomy Description
- A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 09851011 | MEDICAID (05) | MS |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578692463, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WATER VALLEY, MS 38965
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578692463, enumerated as an "individual" on March 05, 2007.
The provider is located at 139 COUNTY ROAD 379 WATER VALLEY, MS 38965 and the phone number is (662) 514-5215.
Radiologic Technologist with taxonomy code 2471C3402X and a focus in Radiography.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
