Individual provider
REBECCA SUE CLARK
CMS NPPES lists REBECCA SUE CLARK as an individual provider record with NPI 1396520466. The current record reports a primary practice location in ANACONDA, MT and primary taxonomy code 363LP2300X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location401 W PENNSYLVANIA AVEANACONDA, MT 597111999
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
363LP2300XPrimary 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
- August 28, 2023
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.