Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kristin Elise Clark, MD

Anesthesiology Physician in Plymouth, MN · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164764585

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Registry record

Entity type Individual (Type 1)

Name Kristin Elise Clark

Credential MD

Sex Female

Practice address 14700 28th Ave N Ste 20, Plymouth, MN, 55447

Phone (763) 559-3779

Fax (763) 450-3986

Enumeration date Mar 24, 2013

Last updated in NPPES Sep 26, 2018

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 64496 (MN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kristin Clark practice?

The practice location on file with NPPES is in Plymouth, MN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kristin Clark?

The National Provider Identifier (NPI) for Kristin Clark is 1164764585, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-26.