MISS NATALIE MARIE CLARK
NPI 1669979167
Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Natalie Clark's NPI number?

The NPI number for Natalie Clark is 1669979167. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Q: What is Natalie Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Natalie Clark was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since April 11, 2018PECOS Enrolled

500 S PRESTON ST RM 305, LOUISVILLE, KY 40202(502) 852-8696 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Natalie Marie Clark NPPES

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

MISS NATALIE MARIE CLARK (NPI 1669979167) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669979167

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMISS NATALIE MARIE CLARK

Location Address500 S PRESTON ST RM 305Louisville, KY 40202-1702

Mailing Address500 S Preston St Rm 305Louisville, KY 40202-1702 · (502) 852-8696

Phone(502) 852-8696

Sole ProprietorYes

Enumeration DateApril 11, 2018

✔ NPI 1669979167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

500 S PRESTON ST RM 305, Louisville, KY 40202

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Natalie Marie Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

JULIANNE GRACE SCHULTZ

Student in an Organized Health Care Education/Training Program