Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1912191156 Deactivated / Inactive NPI Female Practitioner

Phyllis Bernadette Lark

Case Manager/Care Coordinator • Hammond, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phyllis Lark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2007
NPI Deactivation Date January 03, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Phyllis Lark was a registered Case Manager/Care Coordinator practicing in Hammond, IN. Throughout an active medical career spanning 11 years, Phyllis Lark provided care at the practice location at 534 CONKEY ST until profile deactivation on 2018-01-03.

Practice Location & Contact Primary Location

Practice Address

534 Conkey St

Hammond, IN 463241100

Telephone 2199338157
Fax 2199338273
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Hammond, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Hammond, IN (1013 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Lauren Richard , RN

Registered Nurse

NPI 1942479613

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 03, 2018

Record deactivated on January 03, 2018

NPI Profile Active August 30, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 30, 2007

Registered at 534 CONKEY ST, HAMMOND, IN 463241100 (Tel: 2199338157)

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Updated Business Mailing Address August 30, 2007

Registered at 21 E DETROIT ST, HAMMOND, IN 463203003 (Tel: 2199337243)

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Provider Name / Credentials Updated August 30, 2007

Recorded as PHYLLIS LARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2007

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration August 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912191156
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2007
Last Update: August 30, 2007
Deactivation Date: January 03, 2018

Mailing Address

21 E Detroit St

Hammond, IN 463203003

Phone: 2199337243

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.