ALEXIS MARIA CLARK
NPI 1902790629
Case Manager/Care Coordinator in Broken Arrow, OK

Q: What is Alexis Clark's NPI number?

The NPI number for Alexis Clark is 1902790629. It was assigned to this individual provider in the NPPES registry on June 6, 2025. The provider is also known as Alexis Pena.

Q: What is Alexis Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Clark was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 June 06, 2025

1405 W YUMA CIR, BROKEN ARROW, OK 74011(918) 688-9251 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexis Maria Clark NPPES

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

ALEXIS MARIA CLARK (NPI 1902790629) is an individual case manager/care coordinator provider in Broken Arrow, Oklahoma and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1902790629

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameALEXIS MARIA CLARK

Location Address1405 W YUMA CIRBroken Arrow, OK 74011-5702

Mailing Address1405 W Yuma CirBroken Arrow, OK 74011-5702 · (918) 688-9251

Phone(918) 688-9251

Sole ProprietorYes

Enumeration DateJune 6, 2025

NPPES CertifiedJune 6, 2025

✔ NPI 1902790629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1405 W YUMA CIR, Broken Arrow, OK 74011

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Other Names 1

Former Name (1)Alexis Pena

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 Alexis Clark's NPI number?

The NPI number for Alexis Clark is 1902790629. It was assigned to this individual provider in the NPPES registry on June 6, 2025. The provider is also known as Alexis Pena.

Where is Alexis Clark located?

Alexis Clark practices at 1405 W Yuma Cir, Broken Arrow, OK 74011. The listed phone number is (918) 688-9251.

What is Alexis Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Alexis Clark was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.