Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. LARISSA PEARL PRESTADO CLAVILLAS APRN
NPI 1649192212
Nurse Practitioner - Primary Care in Woodward, OK

Active since July 27, 2026
1611 MAIN ST, WOODWARD, OK 73801(580) 254-8192(580) 254-8687 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Larissa Pearl Prestado Clavillas Aprn NPPES

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

MRS. LARISSA PEARL PRESTADO CLAVILLAS APRN (NPI 1649192212) is an individual primary care provider in Woodward, Oklahoma, licensed in Oklahoma (228654) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1649192212
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. LARISSA PEARL PRESTADO CLAVILLASCredential: APRN
Location Address1611 MAIN STWoodward, OK 73801-3021
Mailing Address1416 26th StWoodward, OK 73801-4122 · (580) 254-8192 · Fax (580) 254-8687
Fax(580) 254-8687
Sole ProprietorYes
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1649192212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OK · 228654
1611 MAIN ST, Woodward, OK 73801

Other Names 1

Former Name (1)Larissa Pearl Dimaiwat Prestado Rn

Other Providers at the Same Location NPPES 7

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

Clinic/Center
1611 MAIN ST, SUITE 203
WOODWARD, OK 73801
Dentist (Orthodontics and Dentofacial Orthopedics)
1611 MAIN ST, SUITE 201
WOODWARD, OK 73801
Hearing Instrument Specialist
1611 MAIN ST, SUITE 203
WOODWARD, OK 73801
Family Medicine
1611 MAIN ST, SUITE 203
WOODWARD, OK 73801
Hospice Care, Community Based
1611 MAIN ST, SUITE 103
WOODWARD, OK 73801
Hearing Aid Equipment
1611 MAIN ST, SUITE 203
WOODWARD, OK 73801
Dentist (Orthodontics and Dentofacial Orthopedics)
1611 MAIN ST, SUITE 201
WOODWARD, OK 73801

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 Larissa Pearl Clavillas's NPI number?

The NPI number for Larissa Pearl Clavillas is 1649192212. It was assigned to this individual provider in the NPPES registry on July 27, 2026. The provider is also known as Larissa Pearl Dimaiwat Prestado Rn.

Where is Larissa Pearl Clavillas located?

Larissa Pearl Clavillas practices at 1611 Main St, Woodward, OK 73801. The listed phone number is (580) 254-8192.

What is Larissa Pearl Clavillas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Larissa Pearl Clavillas was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.