MR. RICHARD D CLARK RN ARNP CRNA
NPI 1659355121
Nurse Anesthetist, Certified Registered in Lansing, IL

Active since November 30, 2005
18221 TORRENCE AVE, LANSING, IL 60438(708) 895-9450 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Richard D Clark Rn Arnp Crna NPPES

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

MR. RICHARD D CLARK RN ARNP CRNA (NPI 1659355121) is an individual nurse anesthetist, certified registered in Lansing, Illinois, licensed in Illinois (09.006191) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1659355121
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. RICHARD D CLARKCredential: RN ARNP CRNA
Location Address18221 TORRENCE AVELansing, IL 60438-2870
Mailing Address18221 Torrence AveLansing, IL 60438-2870 · (708) 895-9408
Sole ProprietorYes
Enumeration DateNovember 30, 2005
Last NPPES UpdateMay 21, 2010
NPI 1659355121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in IL · 09.006191 Licensed in KS · 54725 Licensed in MO · 134677
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 1484659051 (KS), 134677 (MO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 54725 (KS)
18221 TORRENCE AVE, Lansing, IL 60438

Other Identifiers 18

Other100385650CKansas Medical Assistista
Other27862039Preferred Care Blue
Medicare ID-Type UnspecifiedH81A520MO
OtherP00155221Rr Medicare
Medicaid915697213MO
Other481192875Coventry
Other27862039Preferred Health Professi
Other161280Bcbs Of Kansas
Other27862039Bcbs Of Kansas City
Other481192875Cigna
Medicare UPINP13178
OtherP13178Premier Health Plans
Other481192875Aetna
Other481192875Humana
Other481192875United Health Care
Medicare ID-Type Unspecified161280KS
Other10001771600Community Health Plan
Medicare ID-Type UnspecifiedH81A520BMO

Other Providers at the Same Location NPPES 12

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

Nurse Anesthetist, Certified Registered
18221 TORRENCE AVE
LANSING, IL 60438
Nurse Anesthetist, Certified Registered
18221 TORRENCE AVE
LANSING, IL 60438
Anesthesiology
18221 TORRENCE AVE
LANSING, IL 60438
Anesthesiology
18221 TORRENCE AVE
LANSING, IL 60438
Anesthesiology (Pain Medicine)
18221 TORRENCE AVE, SUITE 1B
LANSING, IL 60438
Clinic/Center (Medical Specialty)
18221 TORRENCE AVE, SUITE 1C
LANSING, IL 60438
Nurse Anesthetist, Certified Registered
18221 TORRENCE AVE
LANSING, IL 60438
Nurse Anesthetist, Certified Registered
18221 TORRENCE AVE, SUITE 1-B
LANSING, IL 60438

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659355121, enumerated as an "individual" on November 30, 2005.

The provider is located at 18221 TORRENCE AVE LANSING, IL 60438 and the phone number is (708) 895-9450.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Blue Cross. Please consult your insurance carrier or call the provider to verify.