Debra Clark, PNP
Debra Clark, PNP is a Pediatric Nurse Practitioner in Concord, NC, registered under NPI 1336525625. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1040 VINEHAVEN DR NE, Concord, NC 28025. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5007863 | NC | Pediatric Nurse Practitioner primary |
| 5007863 | NC | Nurse Practitioner |
This provider holds licence 5007863 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 9638488398
- Enrollment ID
- I20151020000364
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | 5007863 | NC | primary |
| 363L00000X | Nurse Practitioner | 5007863 | NC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1336525625 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 10, 2015 |
| Last updated | Aug 2, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | PNP |
| Practice address |
1040 VINEHAVEN DR NE Concord, NC 28025 (704) 784-1010 Fax (704) 784-1013 |
| Other identifiers |
1336525625
· Medicaid (NC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 3 | 6 | 5 | 2 | 5 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 6 | 6 | 1 | 2 | 1 | 6 | 4 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.