What is Tymir Clark's NPI number?

Tymir Clark's National Provider Identifier (NPI) is 1588126239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tymir Clark's specialty?

Tymir Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Tymir Clark located?

Tymir Clark's practice location on file with NPPES is 2219 Edgley St, Philadelphia, PA 19121-1300.

What is Tymir Clark's phone number?

The practice phone number listed in the NPPES registry for Tymir Clark is (267) 258-9167.

Is Tymir Clark's NPI active?

Yes — Tymir Clark's NPI (1588126239) is active in the NPPES registry as of the last update on 2019-04-02.

IndividualActive

Tymir Clark

NPI 1588126239 · Licensed Practical Nurse · Philadelphia, PA

Tymir Clark is a Licensed Practical Nurse provider in Philadelphia, PA (NPI 1588126239).

Provider details

NPI number: 1588126239
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Male
Sole proprietor: Yes
License: PN307634 (PA)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense PN307634 (PA)
Nursing Service Providers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 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

2219 Edgley St

Philadelphia, PA 19121-1300

Phone: (267) 258-9167

Street-level locationGet directions

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Mailing address