SANDRA CLARK RT(R) – NPI #1578692463
Radiologic Technologist
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
SANDRA CLARK is a radiologic technologist located in WATER VALLEY, MS. NPPES has assigned the NPI number 1578692463 to SANDRA CLARK on March 05, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name JASON CLARK. The primary taxonomy selected by this provider is 2471C3402X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Radiography Radiologic Technologist
The NPI profile was previously updated about 19 years ago on Jul 09, 2007. 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 SANDRA CLARK below.
NPI Profile for
SANDRA CLARK
(more than 19 years ago)
WATER VALLEY, MS 38965-3607 Phone: (662) 514-5215 Fax:
Identifiers for SANDRA CLARK
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MS | 09851011 |
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 |
|---|---|---|
| 2471C3402X - Radiologic Technologist / Radiography Radiologic Technologist (Primary) |
MS | MRT2279 |
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.