JAMIE LYNN CLARK CRNA
NPI 1043290711
Nurse Anesthetist, Certified Registered in Commerce Twp, MI
NPI Status: Active since January 19, 2006
Contact Information
1 WILLIAM CARLS DR
COMMERCE TWP, MI
ZIP 48382
Phone: (248) 937-3307
- Individual
- Female
- Nurse Anesthetist, Certified Registered
About JAMIE CLARK
This page provides the complete NPI Profile along with additional information for Jamie Clark, a provider established in Commerce Twp, Michigan with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1043290711 assigned on January 2006. The practitioner's primary taxonomy code is 367500000X with license number 4704117611 (MI). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1043290711
- Provider Name
- JAMIE LYNN CLARK CRNA
- Other Name
- JAMIE LYNN GRAICHEN CRNA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382
- Location Phone
- (248) 937-3307
- Mailing Address
- PO BOX 67000 DEPT 203401 DETROIT, MI 48267
- Mailing Phone
- (952) 442-9770
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-19-2006
- Last Update Date
- 08-13-2009
- 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.
- 4704117611
- License State
- MI
- 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:
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.
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 |
|---|---|---|---|
| N24360147 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
| 104621585 | MEDICAID (05) | MI | |
| JC117611 | OTHER (01) | MI | BLUE CROSS OF MI |
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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 | 4 | 3 | 2 | 9 | 0 | 7 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 4 | 9 | 0 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 4 + 9 + 0 + 7 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1043290711 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 |
|---|---|---|---|
| 1447241864 | E PATRICK MITCHELL D.O. Individual | Orthopaedic Surgery | 1 WILLIAM CARLS DR RSC COMMERCE TOWNSHIP, MI 48382 (248) 937-4947 |
| 1740271162 | ROLAND BRANDT DO Individual | Orthopaedic Surgery | 1 WILLIAM CARLS DR RSC COMMERCE TOWNSHIP, MI 48382 (248) 937-4947 |
| 1538147079 | DR. MICHAEL FALZON M.D. Individual | Emergency Medicine | 1 WILLIAM CARLS DR COMMERCE TOWNSHIP, MI 48382 (248) 937-3300 |
| 1801875307 | ANNE STUS CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1437138963 | MARY VASKE CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1710966296 | KAREN OPOKAMASSER CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (952) 442-9770 |
| 1932188430 | MAUREEN RILEY CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1245219732 | MARNA RAITANEN CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1508845033 | SARA THOMAS CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1801875356 | MIKE VENIA CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TOWNSHIP, MI 48382 (248) 937-3307 |
| 1033198668 | KAREN MOORE CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (952) 442-9770 |
| 1770562969 | WILLIAM YATES CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1407835630 | MS. CATHERINE MARIE BROOKS-FAVA CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1184603326 | KEUMAE DATO CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1053390294 | CYNTHIA HEMINGWAY CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1689653826 | SHANNON CARLSON CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1508845793 | RICHARD WLOSINSKI CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TOWNSHIP, MI 48382 (248) 937-3307 |
| 1922087063 | JACQUELYN EVANS CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1659350759 | SUSAN GRANT CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
| 1801876388 | CYNTHIA LYNN CRNA Individual | Nurse Anesthetist, Certified Registered | 1 WILLIAM CARLS DR COMMERCE TWP, MI 48382 (248) 937-3307 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043290711, enumerated in the NPI registry as an "individual" on January 19, 2006
The provider is located at 1 William Carls Dr Commerce Twp, Mi 48382 and the phone number is (248) 937-3307
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 January 19, 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].
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