NICOLE T. CLARK ATC-L – NPI #1841609484
Emergency Medicine

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Health Care Provider Taxonomy Code for Emergency Medicine

NICOLE CLARK is a physician located in PORTLAND, ME. NPPES has assigned the NPI number 1841609484 to NICOLE CLARK on August 07, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207PS0010X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE CLARK below.

The provider associated with this NPI number, 1841609484, has been excluded by the Office of Inspector General.

Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan). Office of Inspector General

NPI Profile for
NICOLE T. CLARK

NPI Number
1841609484
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE T. CLARK
Credentials
ATC-L
Primary location
267 OCEAN AVE
PORTLAND, ME 04103-5707
Phone: (207) 542-8233 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PS0010X
- Emergency Medicine / Sports Medicine (Primary)		 ME AT511

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.