Roshunya Shavon Clark, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9214368 Issued in FL

Practice address

1750 17TH St Ste G
Sarasota, FL 34234-8666

Phone

(941) 366-5333

Fax

(941) 331-2540

NPI assigned

Jan 20, 2017

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Step of Sarasota IncGroup PAC ID 9830324169, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lightshare Behavioral Wellness and Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sarasota, FL
  • NPI 1578551198
  Medicare reassignment Care Compare group NPD
• Total Life Care Clinic, LLC

  • Adult Health Nurse Practitioner
  • Sarasota, FL
  • NPI 1841728698
  NPD Authorized official
• Bgi Retirement LLC

  dba crossbreeze care center

  • Skilled Nursing Facility
  • Sarasota, FL
  • NPI 1598045320
  NPD (past)
• Lightshare Behavioral Wellness and Recovery

  • Community/Behavioral Health Agency
  • Venice, FL
  • NPI 1710557830
  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1497292049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 17TH ST STE G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348666",
            "telephone_number": "352-870-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 17TH ST STE G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348666",
            "telephone_number": "941-366-5333",
            "fax_number": "941-331-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROSHUNYA",
        "middle_name": "SHAVON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN9214368",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "RN9214368",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9214368",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9214368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Allen Clapp, M.A., LMHC
• Michael P Clare, MD
• Carolyn B Clark, ARNP
• Cassandra Clark, DC
• Cynthia Clark, L.AC.
• Alane Renee Clarke, L.D.O.
• Marlene Clarke, NP-C
• Jennifer Lynnette Clarkson, DPT, L/CNMT
• Steven J. Class, M.D.
• Yiliam Clavelo, P.A.

• Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.