YETTA HARDY CLARK CRNA
NPI 1013029461
Nurse Anesthetist, Certified Registered in Winston Salem, NC
NPI Status: Active since August 31, 2006
Contact Information
145 KIMEL PARK DR
SUITE 300
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-3212
Fax: (336) 768-9019
- Individual
- Female
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
About YETTA CLARK
This page provides the complete NPI Profile along with additional information for Yetta Clark, a provider established in Winston Salem, North Carolina with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1013029461 assigned on August 2006. The practitioner's primary taxonomy code is 367500000X with license number 043294 (NC). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1013029461
- Provider Name
- YETTA HARDY CLARK CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103
- Location Phone
- (336) 768-3212
- Location Fax
- (336) 768-9019
- Mailing Address
- 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103
- Mailing Phone
- (336) 768-3212
- Mailing Fax
- (336) 768-9019
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 043294
- License State
- NC
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8051731 | MEDICAID (05) | NC | |
| 261057D | MEDICARE ID-TYPE UNSPECIFIED (04) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 2 | 9 | 4 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 2 | 18 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 2 + 1 + 8 + 4 + 1 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1013029461 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538155403 | MS. KARLYNN ELIZABETH MORGAN CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON-SALEM, NC 27103 (336) 659-1244 |
| 1730122565 | GILES FRANKLIN CROWELL MD Individual | Psychiatry & Neurology (Neurology) | 145 KIMEL PARK DR SUITE 100 WINSTON-SALEM, NC 27103 (336) 768-6347 |
| 1205879558 | DAVID DAVIS MEYER MD Individual | Psychiatry & Neurology (Neurology) | 145 KIMEL PARK DR SUITE 100 WINSTON-SALEM, NC 27103 (336) 768-6347 |
| 1043256126 | TRAVIS HAROLD JACKSON MD Individual | Psychiatry & Neurology (Neurology) | 145 KIMEL PARK DR SUITE 100 WINSTON-SALEM, NC 27103 (336) 768-6347 |
| 1124044987 | DR. PAUL GRAY MARTIN MD Individual | Psychiatry & Neurology (Neurology) | 145 KIMEL PARK DR SUITE 100 WINSTON SALEM, NC 27103 (336) 768-6347 |
| 1104846443 | DR. SHRIKUMAR SHRIPAD DONGRE M.D. Individual | Anesthesiology | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1588684377 | DR. BENZION SCHKOLNE M.D. Individual | Anesthesiology | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1578583357 | DR. SURESH JAGANNATH PENKAR M.D. Individual | Anesthesiology | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1316960933 | DR. FREDERICK ALAN KOONTZ M.D. Individual | Anesthesiology | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1750304309 | DR. DANIEL WINTERS M.D. Individual | Anesthesiology | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1447362728 | MARTHA LEA HELSABECK CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1063524106 | PEGGY LEE JONES CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1104938596 | KEITH ANN ALEXANDER CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1043322456 | PEGGY B BRANCH CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1215049598 | ANNE SUTPHIN WELCH CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1770694879 | LINDA DOUB MORGAN CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1134231533 | LOUISE T AARON CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 120 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1912018045 | CHRISTINE ANN MASTIC CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1316059777 | BONITA HENDERSON ROGERS CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
| 1306958335 | DAVID MICHAEL FABRIZIO CRNA Individual | Nurse Anesthetist, Certified Registered | 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 (336) 768-3212 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013029461, enumerated in the NPI registry as an "individual" on August 31, 2006
The provider is located at 145 Kimel Park Dr Suite 300 Winston Salem, Nc 27103 and the phone number is (336) 768-3212
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.