Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Katherine Rose Clark, PA-C
Physician Assistant in Crystal, MN · enumerated 2023.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1003683509
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Registry record
Entity type Individual (Type 1)
Name Mrs. Katherine Rose Clark
Credential PA-C
Sex Female
Practice address 5109 36th Ave N, Crystal, MN, 55422
Phone (763) 587-7999
Fax (763) 587-7989
Enumeration date Dec 5, 2023
Last updated in NPPES Mar 31, 2025
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 14744 (MN) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Katherine Clark?
Katherine Clark is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Paul Ruth Family Medicine Physician · Crystal, MN NPI 1336123611 Kurt Partoll Internal Medicine Physician · Crystal, MN NPI 1659307205 Sherry Paulson Obstetrics & Gynecology Physician · Crystal, MN NPI 1700815230 Darrell Krieger Internal Medicine Physician · Crystal, MN NPI 1366470825 Michelle Wark Physician Assistant · Crystal, MN NPI 1952330581 David Smiley Internal Medicine Physician · Crystal, MN NPI 1437189057 Mary Broughton Medical Physician Assistant · Crystal, MN NPI 1487844734 North Clinic, PA Non-Pharmacy Dispensing Site · Crystal, MN NPI 1134374523
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-31.