Krista M Clark in Old Hickory - Prosthetics Case Management
Krista M Clark - NPI 1073687224
Krista M Clark is a Prosthetics Case Management in Old Hickory, Tennessee. Krista M Clark practices all healthcare services and medical treatments related to Prosthetics Case Management. The NPI Number for Krista M Clark is 1073687224. The last update date is 2007-12-05.
Krista M Clark's current location address is 810 Hadley Ave, Old Hickory, Tennessee. You can contact this provider via phone number 6158478000 and fax number 6158474693. The mailing address for Krista M Clark is 810 Hadley Ave, Old Hickory, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krista M Clark |
|---|---|
| Address | 810 Hadley Ave, Old Hickory, Tennessee |
| Phone Number | 6158478000 |
| Fax Number | 6158474693 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073687224 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
| Address | 810 Hadley Ave |
|---|---|
| City | Old Hickory |
| State | Tennessee (TN) |
| Post Code | 371383121 |
| Phone Number | 6158478000 |
| Fax Number | 6158474693 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetics Case Management |
|---|---|
| Taxonomy | 1744P3200X |
|
Definition: Planning and coordinating comprehensive prosthetic patient care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4018836 | TN | BCBS OF TN | |
| 1454254 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Krista M Clark by the Centers for Medicare & Medicaid Services?
The Krista M Clark has been assigned the NPI (National Provider Identifier) 1073687224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Krista M Clark?
The Krista M Clark is situated at 810 Hadley Ave, in the city of Old Hickory, state of TN, with the zip code 371383121.
What is the area of specialization for Krista M Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Krista M Clark is Prosthetics Case Management, and the corresponding taxonomy code that categorizes this area of expertise is 1744P3200X.
On what date was the 1073687224 assigned to Krista M Clark?
The Krista M Clark was issued its 1073687224 on 2006-11-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Krista M Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Krista M Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-05.