Individual
DR. AUTUMN CLARK
Active
Individual
DR. AUTUMN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0102201521
VA
2084P0800X
Psychiatry Physician
Primary
2010017178
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183130003
—
AR
05
—
1912911090
—
MO
01
—
P00852000
RAILROAD MEDICARE #
MO
Enumeration date
07/27/2006
Last updated
05/02/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up