Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487719787 Individual Practitioner Female Practitioner

Stephanie Clark , LICENSED PRACTICAL

Licensed Practical Nurse • Millbrook, NY

Professional Overview & Biography Verified Profile Summary

Stephanie Clark, LICENSED PRACTICAL is a registered healthcare professional specializing in Licensed Practical Nurse in Millbrook, NY. Practice services are available at 55 RAMBLE HILL LANE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Ramble Hill Lane

Millbrook, NY 12545

Telephone 8456779500
Associated Practice Facility / Clinic
🏢 Daytop Village, Inc. Facility NPI 1457472136

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Millbrook, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Millbrook, NY (23738 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 1761701

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Anne Zukowski , LPN

Licensed Practical Nurse

NPI 1285883173

Licensed Practical Nurse

Elizabeth Tidler , RN

Registered Nurse

NPI 1679773923

Registered Nurse

Bruce Elmendorf , RN

Registered Nurse

NPI 1801058623

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 55 RAMBLE HILL LANE, MILLBROOK, NY 12545 (Tel: 8456779500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 50 WOODCREST DR, HOPEWELL JCT, NY 12533 (Tel: 8452276106)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHANIE CLARK, LICENSED PRACTICAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #1761701 in NY)

🟢
Initial NPI Registration & Enumeration December 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Stephanie Clark. Be the first to share your experience!

Sign in to leave a review for Stephanie Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487719787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

50 Woodcrest Dr

Hopewell Jct, NY 12533

Phone: 8452276106

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.