Brandi Clark

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

605 Stanley Ave
Columbus, OH 43206-2418

Phone

(614) 209-0790

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Support Services

  • Home Health Agency
  • Columbus, OH
  • NPI 1538448931
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1215283569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 STANLEY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062418",
            "telephone_number": "614-209-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 STANLEY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062418",
            "telephone_number": "614-209-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRANDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkaylah Lariah Clark
• Ashley Marie Clark
• Barbara Jean Clark
• Barbara Joyce Clark, M.ED., LPCC
• Beryl Akinyi Nyambok Clark
• Brandon Michael Clark
• Brigette Clark
• Caitlin Alysse Clark, PHARMD
• Caitlin M Clark
• Carla Clark

• Home Health Aide in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.