What is Kristal Clark's NPI number?

Kristal Clark's National Provider Identifier (NPI) is 1710825211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kristal Clark's specialty?

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

Where is Kristal Clark located?

Kristal Clark's practice location on file with NPPES is 5877 Judy Dr, Fairfield, OH 45014-4798.

What is Kristal Clark's phone number?

The practice phone number listed in the NPPES registry for Kristal Clark is (513) 883-9661.

Is Kristal Clark's NPI active?

Yes — Kristal Clark's NPI (1710825211) is active in the NPPES registry as of the last update on 2026-03-24.

IndividualActive

Kristal Clark, LPN

NPI 1710825211 · Licensed Practical Nurse · Fairfield, OH

Kristal Clark, LPN is a Licensed Practical Nurse provider in Fairfield, OH (NPI 1710825211).

Provider details

NPI number: 1710825211
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: Yes
License: 159206MEDSIV (OH)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 159206MEDSIV (OH)
Nursing Service Providers

Profile Score

Established profile(53/100 index)

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

Registry tenure38% of score
Under 1 yr in 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

5877 Judy Dr

Fairfield, OH 45014-4798

Phone: (513) 883-9661

Street-level locationGet directions

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Mailing address