Shelley B. Clark, LPTA
NPI 1689066367ActiveIndividual· Skilled Nursing Facility· Ocean Springs, MS
Skilled Nursing Facility (LPTA) in Ocean Springs, Mississippi, licensed in MS, with an NPI issued in March 2015.
Overview
| NPI | 1689066367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPTA |
| Sole proprietor | Yes |
| NPI issued | Mar 4, 2015 |
| Last updated in NPPES | Mar 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | PTA4100 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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