AMANDA L. CLARK CSFA – NPI #1730073404
Specialist/Technologist, Other

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

AMANDA CLARK is a technologist located in HERMITAGE, TN. NPPES has assigned the NPI number 1730073404 to AMANDA CLARK on June 05, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZC0007X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Surgical Assistant

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 AMANDA CLARK below.

NPI Profile for
AMANDA L. CLARK

NPI Number
1730073404
Enumeration Date

(about a year ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA L. CLARK
Credentials
CSFA
Primary location
5655 FRIST BLVD
HERMITAGE, TN 37076-2053
Phone: (615) 316-3000 Fax:
Mailing address
7520 OAK COVE DR
BILOXI, MS 39532-5054
Phone: (228) 324-8126 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
246ZC0007X
- Specialist/Technologist, Other / Surgical Assistant (Primary)
MS 214724

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.