Individual provider Active NPI

Barbara J. Clark, APRN CNP

  • Family Nurse Practitioner
  • Parma, OH
National Provider Identifier
1326694118
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024725 Issued in OH
Practice address
5812 Ridge Rd
Parma, OH 44129-3161
Phone
(440) 452-5933
NPI assigned
Aug 16, 2019
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 024725 OH Primary

Addresses

Primary practice location

5812 Ridge Rd
Parma, OH 44129-3161

Mailing address

27349 Watkin Rd
Olmsted TWP, OH 44138-1783
Phone (440) 452-5933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007001074 OH Practitioner - Nurse Practitioner 6002235215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

Practice addresses (Care Compare)

5812 Ridge Rd
Parma, OH 44129-3161
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
024725OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Ohio LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Sep 16, 2020 Accepting new patients

Locations

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

11706 Clifton Blvd
Lakewood, OH 44107
Phone (216) 228-9296

5812 Ridge Rd
Parma, OH 44129
Phone (440) 452-5933

1100 Hill Rd N
Pickerington, OH 43147
Phone (614) 579-6173

1 Cvs Dr
#3040
Woonsocket, RI 02895

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1326694118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27349 WATKIN RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381783",
            "telephone_number": "440-452-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293161",
            "telephone_number": "440-452-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BARBARA",
        "middle_name": "J.",
        "credential": "APRN CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.