RACHEL LOUISE CLARK
NPI 1871100255
Licensed Practical Nurse in Shawnee, OK

Q: What is Rachel Clark's NPI number?

The NPI number for Rachel Clark is 1871100255. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Q: What is Rachel Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Clark was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 29, 2020

781 GRAND CASINO BLVD, SHAWNEE, OK 74804(405) 964-5770(405) 964-5788 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rachel Louise Clark NPPES

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

RACHEL LOUISE CLARK (NPI 1871100255) is an individual licensed practical nurse in Shawnee, Oklahoma, licensed in Oklahoma (60894) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1871100255

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameRACHEL LOUISE CLARK

Location Address781 GRAND CASINO BLVDShawnee, OK 74804-1005

Mailing Address781 Grand Casino BlvdShawnee, OK 74804-1005 · (405) 964-5770 · Fax (405) 964-5788

Phone(405) 964-5770

Fax(405) 964-5788

Sole ProprietorYes

Enumeration DateSeptember 29, 2020

NPPES CertifiedSeptember 29, 2020

✔ NPI 1871100255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OK · 60894

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

781 GRAND CASINO BLVD, Shawnee, OK 74804

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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.

MISS MARY E ZIENTEK RN

Registered Nurse (Ambulatory Care)

781 GRAND CASINO BLVD, CITIZEN POTAWATOMI NATION HEALTH SERVICES
SHAWNEE, OK 74804

Pottawatomie County (405) 964-5770

JORDAN BENSON

Physical Therapist