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ROZELLA REBECCA CLARK
NPI 1790829224
Physician Assistant in Fort Collins, CO

Active since February 17, 2007
1024 S LEMAY AVE, FORT COLLINS, CO 80524(970) 495-7000(303) 306-7753 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Rozella Rebecca Clark NPPES

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

ROZELLA REBECCA CLARK (NPI 1790829224) is an individual physician assistant in Fort Collins, Colorado, licensed in Colorado (PA.0004163) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1790829224
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameROZELLA REBECCA CLARK
Location Address1024 S LEMAY AVEFort Collins, CO 80524-3929
Mailing AddressPo Box 912215Denver, CO 80291-2215 · (303) 306-7101 · Fax (303) 306-7753
Phone(970) 495-7000
Fax(303) 306-7753
Sole ProprietorNo
Enumeration DateFebruary 17, 2007
Last NPPES UpdateNovember 19, 2015
✔ NPI 1790829224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CO · PA.0004163✔ Licensed in NV · PA1380✔ Licensed in GA · 5221
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1024 S LEMAY AVE, Fort Collins, CO 80524
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Other Names 1

Professional Name (2)Rozella Rebecca Clark Pa-c

Other Identifiers 2

Medicaid99487594CO
Medicare PIN439933YLA0CO

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.

KEASHA NOHELANI KUHNEN
Emergency Medicine
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (303) 306-7783
MARGARET ELIZABETH HERRFELDT RD
Dietitian, Registered
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-8205
HEATHER L. FREEMAN
Physician Assistant
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-7000
NATALIE B. DENKERS L.C.S.W.
Social Worker (Clinical)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-8090
MR. DAVID RANDAL HYATT PA-C
Physician Assistant (Medical)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-7000
DR. DAVID H RICE M.D.
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 484-4757
DR. KAREN B ALDERFER MD
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 484-4757
DR. NATHAN MILLER M.D.
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-7000

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 Rozella Clark's NPI number?

The NPI number for Rozella Clark is 1790829224. It was assigned to this individual provider in the NPPES registry on February 17, 2007. The provider is also known as Rozella Rebecca Clark Pa-C.

Where is Rozella Clark located?

Rozella Clark practices at 1024 S Lemay Ave, Fort Collins, CO 80524. The listed phone number is (970) 495-7000.

What is Rozella Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Rozella Clark was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.