Provider Profile

Shalita Clark, CRNP

Unclaimed Profile

About Shalita Clark

Shalita Clark, CRNP is a nurse practitioner based in Bronx, NY. Shalita is also listed as specializing in nurse practitioner — psychiatric/mental health. The provider's National Provider Identifier (NPI) is 1396214060.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2018

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. 402966VAs reported
AL licenceAs reported to the NPI registry
No. 1-147364As reported
CA licenceAs reported to the NPI registry
No. 95010591As reported
IN licenceAs reported to the NPI registry
No. CV2100304As reported
NPINational Provider Identifier
1396214060Issued 2018

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Shalita Clark?

Shalita Clark is a nurse practitioner in Bronx, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Shalita Clark's address?

Shalita Clark is listed at 234 E 149Th St, Bronx, NY 10451. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Shalita Clark?

The number on file is (718) 579-5006. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Shalita Clark's NPI number?

Shalita Clark's National Provider Identifier is 1396214060. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Shalita Clark train?

Shalita Clark attended Other, graduating in 2018. This comes from the CMS National Downloadable File.

CMS public data

How long has Shalita Clark been practicing?

Shalita Clark has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.

CMS public data

Has Shalita Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Shalita Clark. If this is you, claiming it is free.

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