IndividualActive
Crystal Clark
NPI 1194391185 · Licensed Practical Nurse · Winston Salem, NC
Crystal Clark is a Licensed Practical Nurse provider in Winston Salem, NC (NPI 1194391185).
Provider details
- NPI number
- 1194391185
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 091485 (NC)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
650 Highland Ave # 100
Winston Salem, NC 27101-4304
Phone: (336) 607-8523
Street-level locationGet directions
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-05-31
Frequently asked questions
- What is Crystal Clark's NPI number?
- Crystal Clark's National Provider Identifier (NPI) is 1194391185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Clark's specialty?
- Crystal Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Crystal Clark located?
- Crystal Clark's practice location on file with NPPES is 650 Highland Ave # 100, Winston Salem, NC 27101-4304.
- What is Crystal Clark's phone number?
- The practice phone number listed in the NPPES registry for Crystal Clark is (336) 607-8523.
- Is Crystal Clark's NPI active?
- Yes — Crystal Clark's NPI (1194391185) is active in the NPPES registry as of the last update on 2021-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.