AMANDA LYNN CLARK LPN
NPI 1629792783
Licensed Practical Nurse in Schenectady, NY

Active since October 03, 2022
122 PARK AVE, SCHENECTADY, NY 12304(518) 346-2387 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About AMANDA CLARK

This page provides the complete NPI Profile along with additional information for Amanda Clark, a provider established in Schenectady, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1629792783 assigned on October 2022. The practitioner's primary taxonomy code is 164W00000X with license number 329692 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1629792783 Verify this NPI
Provider Name
AMANDA LYNN CLARK LPN
Gender
Female
Entity Type
Individual
Location Address
122 PARK AVE SCHENECTADY, NY 12304
Location Phone
(518) 346-2387
Mailing Address
204 GLEBE ST JOHNSTOWN, NY 12095
Mailing Phone
(518) 224-8452
Is Sole Proprietor?
Yes
Enumeration Date
10-03-2022
Last Update Date
10-05-2022
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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

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
329692
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1164W00000XNursing Service Providers

Licensed Practical Nurse

PN5249837 (FL)

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Social Worker
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Registered Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Registered Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Social Worker
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Counselor
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Registered Nurse (General Practice)
122 PARK AVE
SCHENECTADY, NY 12304
Counselor (School)
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Student in an Organized Health Care Education/Training Program
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Licensed Practical Nurse
122 PARK AVE
SCHENECTADY, NY 12304
Social Worker
122 PARK AVE
SCHENECTADY, NY 12304
Art Therapist
122 PARK AVE
SCHENECTADY, NY 12304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629792783, enumerated as an "individual" on October 03, 2022.

The provider is located at 122 PARK AVE SCHENECTADY, NY 12304 and the phone number is (518) 346-2387.

Licensed Practical Nurse with taxonomy code 164W00000X.