Active NPI
Emma Clark
- Student in an Organized Health Care Education/Training Program
- Cincinnati, OH
National Provider Identifier
1053240846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- S.2605047-TRNE
- Practice address
- 11156 Canal Rd Ste a
Cincinnati, OH 45241-5816 - Phone
- (513) 772-6166
- NPI assigned
- May 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S.2605047-TRNE | OH | Primary |
Addresses
Primary practice location
11156 Canal Rd Ste a
Cincinnati, OH 45241-5816
Mailing address
1801 Watermark Dr
Columbus, OH 43215-7088
Phone (614) 487-8758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2605047-TRNE | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1053240846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 WATERMARK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157088",
"telephone_number": "614-487-8758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11156 CANAL RD STE A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452415816",
"telephone_number": "513-772-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "EMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "S.2605047-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.