MACIE M CLARK LPN
NPI 1497238612
Licensed Practical Nurse in Du Quoin, IL
NPI Status: Active since September 13, 2018
Contact Information
1564 S WASHINGTON ST
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-8702
- Individual
- Female
- Licensed Practical Nurse
About MACIE CLARK
This page provides the complete NPI Profile along with additional information for Macie Clark, a provider established in Du Quoin, Illinois with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1497238612 assigned on September 2018. The practitioner's primary taxonomy code is 164W00000X with license number 043125988 (IL). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1497238612
- Provider Name
- MACIE M CLARK LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1564 S WASHINGTON ST DU QUOIN, IL 62832
- Location Phone
- (618) 542-8702
- Mailing Address
- 4241 HIGHWAY 14 W CHRISTOPHER, IL 62822
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-13-2018
- Last Update Date
- 09-13-2018
- 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
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 043125988
- License State
- IL
- 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.
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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 | 4 | 9 | 7 | 2 | 3 | 8 | 6 | 1 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 18 | 7 | 4 | 3 | 16 | 6 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 8 + 7 + 4 + 3 + 1 + 6 + 6 + 2 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1497238612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1932692852 | REBECCA LOUCKS RN Individual | Registered Nurse | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1386123347 | TERESA MCBRIDE LPN Individual | Licensed Practical Nurse | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 724-2401 |
1619957297 | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1508960915 | TAMARA COLLARD P.A. Individual | Physician Assistant | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1598701401 | DR. SHAHEDA M MANSURI MD Individual | General Practice | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1194064774 | MS. MARGARET ANN HOWARD LCSW Individual | Social Worker (Clinical) | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1710516604 | MISS GORANA MICEVIC Individual | Physician Assistant | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1508438433 | JACOB HILL LPN Individual | Licensed Practical Nurse | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1205387651 | MICHAELA DAVIS FNP Individual | Nurse Practitioner (Family) | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1336887397 | MARY MARSHALL LPN Individual | Licensed Practical Nurse | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 724-2401 |
1154991131 | JILL MARIE FAIRBANKS FNP-C Individual | Nurse Practitioner (Family) | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1467456798 | DR. SUZANNE BURGE MD Individual | Family Medicine | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1275854853 | BENJAMIN T RATHERT MD Individual | Family Medicine | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
1285128504 | CHARELLE OCTAVIA SMITH MD Individual | Family Medicine | 1564 S WASHINGTON ST DU QUOIN, IL 62832 (618) 542-8702 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497238612, enumerated in the NPI registry as an "individual" on September 13, 2018
The provider is located at 1564 S Washington St Du Quoin, Il 62832 and the phone number is (618) 542-8702
The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X
This NPI record was last updated on September 13, 2018. 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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