Active NPI
Beatrice Clark
- Home Health Aide
- Hampton, VA
National Provider Identifier
1205645264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 704 Delaware Ave
Hampton, VA 23661-2312 - Phone
- (252) 676-1435
- NPI assigned
- Jan 4, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
704 Delaware Ave
Hampton, VA 23661-2312
Mailing address
6 Fewell Ave
Weldon, NC 27890-1818
Phone (252) 676-1435
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1205645264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 FEWELL AVE",
"city": "WELDON",
"state": "NC",
"postal_code": "278901818",
"telephone_number": "252-676-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 DELAWARE AVE",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236612312",
"telephone_number": "252-676-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "BEATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-04",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.