Brittany Lynn Clark

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

78975 Issued in WV

Practice address

64 State St
Gassaway, WV 26624-1132

Phone

(304) 364-1063

NPI assigned

Nov 16, 2023

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

State licenses

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1386419752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 STATE ST",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "266241132",
            "telephone_number": "304-364-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 STATE ST",
            "city": "GASSAWAY",
            "state": "WV",
            "postal_code": "266241132",
            "telephone_number": "304-364-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "78975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lynn Buckhannon, LICENCED PRACTICAL N
• Janet Butler
• Julie Ann Calef, MS, CCC/SLP
• Richard Eric Campbell, PHARMD
• Chad J Lancaster, DDS, PLLC
• Clarksburg Vamc
• Community Care of West Virginia, Inc.
• Misty Dawn Connnor
• Michele Cottrell
• Jill N. Cottrill

• All providers in Gassaway, WV
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.