Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932714318 Individual Practitioner Female Practitioner

Latisha Clark

Day Training, Developmentally Disabled Services • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Latisha Clark is a registered healthcare professional specializing in Day Training, Developmentally Disabled Services in Indianapolis, IN. Practice services are available at 8109 BLACKGUM CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8109 Blackgum Ct

Indianapolis, IN 462368260

Telephone 3176585177

Specialty Benchmarks & Practice Insights

Comparative analytics for Day Training, Developmentally Disabled Services in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Indianapolis, IN (1 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

CMS Verified: 2022-06-30
Day Training, Developmentally Disabled Services Primary Specialty

NUCC Taxonomy Code: 251C00000X

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Latisha
00000000 (IN)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 30, 2022

Registered at 8109 BLACKGUM CT, INDIANAPOLIS, IN 462368260 (Tel: 3176585177)

📍
Updated Business Mailing Address June 30, 2022

Registered at 8109 BLACKGUM CT, INDIANAPOLIS, IN 462368260 (Tel: 3176585177)

NPI Profile Active September 11, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2020

Registered at 4909 E 18TH ST, INDIANAPOLIS, IN 462184609 (Tel: 3176585177)

📍
Updated Business Mailing Address September 11, 2020

Registered at 4909 E 18TH ST, INDIANAPOLIS, IN 462184609 (Tel: 3176585177)

👤
Provider Name / Credentials Updated September 11, 2020

Recorded as LATISHA CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2020

Day Training, Developmentally Disabled Services

🟢
Initial NPI Registration & Enumeration September 11, 2020

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: 1932714318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2020
Last Update: June 30, 2022
Sole Proprietor: Yes

Mailing Address

8109 Blackgum Ct

Indianapolis, IN 462368260

Phone: 3176585177

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.