MRS. KIMBERLY SUE CLARK LPN
NPI 1114996931
Licensed Practical Nurse in Geneva, OH

NPI Status: Active since March 15, 2006

Contact Information

523 ATKINS RD.
GENEVA, OH
ZIP 44041
Phone: (440) 218-0392

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  • Individual
  • Female
  • Licensed Practical Nurse

About KIMBERLY CLARK

This page provides the complete NPI Profile along with additional information for Kimberly Clark, a provider established in Geneva, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1114996931 assigned on March 2006. The practitioner's primary taxonomy code is 164W00000X with license number PN096694 (OH). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1114996931
Provider Name
MRS. KIMBERLY SUE CLARK LPN
Gender
Female
Entity Type
Individual
Location Address
523 ATKINS RD. GENEVA, OH 44041
Location Phone
(440) 218-0392
Mailing Address
523 ATKINS RD. GENEVA, OH 44041
Mailing Phone
(440) 218-0392
Is Sole Proprietor?
No
Enumeration Date
03-15-2006
Last Update Date
03-19-2021
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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

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
PN096694
License State
OH
Taxonomy Description
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.

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.

*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
2123991MEDICAID (05)OH 

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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.
1114996931
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241891296
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 9 + 1 + 2 + 9 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1114996931 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114996931, enumerated in the NPI registry as an "individual" on March 15, 2006

The provider is located at 523 Atkins Rd. Geneva, Oh 44041 and the phone number is (440) 218-0392

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

The provider might be accepting Accepts: 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 March 15, 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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