Katherine Clark, CRNA
NPI 1104364231 · Certified Registered Nurse Anesthetist · Knoxville, TN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katherine Clark, CRNA is a Certified Registered Nurse Anesthetist provider in Knoxville, TN (NPI 1104364231).
Provider details
- NPI number
- 1104364231
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 60722768 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9205 122nd Ct NeApt A107Kirkland, WA 98033-5882Phone: (253) 861-0739
Registry dates
- Enumerated
- 2017-02-09
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Frequently asked questions
- What is Katherine Clark's NPI number?
- Katherine Clark's National Provider Identifier (NPI) is 1104364231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katherine Clark's specialty?
- Katherine Clark is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katherine Clark located?
- Katherine Clark's practice location on file with NPPES is 8913 Town and Country Cir # 1013, Knoxville, TN 37923-4931.
- What is Katherine Clark's phone number?
- The practice phone number listed in the NPPES registry for Katherine Clark is (253) 861-0739.
- Does Katherine Clark accept Medicare?
- Katherine Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katherine Clark's NPI active?
- Yes — Katherine Clark's NPI (1104364231) is active in the NPPES registry as of the last update on 2021-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.