Jenatte Clark Dermatology PLLC
NPI 1225601164ActiveOrganization· Dermatology· Yakima, WA
Dermatology in Yakima, Washington, registered in NPPES in July 2021. The authorized official on file is Jenatte Clark, ARNP, Family Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225601164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2021 |
| Last updated in NPPES | Jul 19, 2021 |
| Certified by provider | Jul 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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