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MADISON RAE CLARK
NPI 1821531492
Student in an Organized Health Care Education/Training Program in Independence, MO

Active since November 29, 2016
15413 E 3RD TER S, INDEPENDENCE, MO 64050(816) 585-5717 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Rae Clark NPPES

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

MADISON RAE CLARK (NPI 1821531492) is an individual student in an organized health care education/training program in Independence, Missouri and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1821531492
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADISON RAE CLARK
Location Address15413 E 3RD TER SIndependence, MO 64050-2289
Mailing Address411 Central Methodist SqFayette, MO 65248-1104 · (816) 585-5717
Phone(816) 585-5717
Sole ProprietorYes
Enumeration DateNovember 29, 2016
Last NPPES UpdateDecember 1, 2016
✔ NPI 1821531492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
15413 E 3RD TER S, Independence, MO 64050
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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 Madison Clark's NPI number?

The NPI number for Madison Clark is 1821531492. It was assigned to this individual provider in the NPPES registry on November 29, 2016.

Where is Madison Clark located?

Madison Clark practices at 15413 E 3rd Ter S, Independence, MO 64050. The listed phone number is (816) 585-5717.

What is Madison Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Clark was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.