Individual provider
SARAH CLARK
CMS NPPES lists SARAH CLARK as an individual provider record with NPI 1033964796. The current record reports a primary practice location in AMMON, ID and primary taxonomy code 175T00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location2705 E 17TH STAMMON, ID 834066669
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
175T00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- April 17, 2024
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.