Active NPI
Teresa Ann Clark, FNP-C
- Family Nurse Practitioner
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348054
- Practice address
- 3825 Countryside Blvd N
Palm Harbor, FL 34684-4928 - Phone
- (727) 784-2848
- NPI assigned
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 348054 | NY | Primary |
Addresses
Primary practice location
3825 Countryside Blvd N
Palm Harbor, FL 34684-4928
Mailing address
3825 Countryside Blvd N
Palm Harbor, FL 34684-4928
Phone (727) 784-2848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210831003702 | NY | Practitioner - Nurse Practitioner | 0143626036 | Reassigns benefits to 2 organizations |
| I20230817001044 | FL | Practitioner - Nurse Practitioner | 0143626036 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3825 Countryside Blvd N
Palm Harbor, FL 34684-4928
Phone (732) 552-8922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Curana Health of Florida LLC | Current | Accepting new patients | |
| Sunshine Health Partners, LLC | Current | Accepting new patients | |
| Curana Health of New Mexico LLC | Current | Accepting new patients | |
| Mana Health Partners PA | Current | Accepting new patients |
Locations
2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546
5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
80 W Lucerne Cir
Orlando, FL 32801
Phone (407) 839-5050
3825 Countryside Blvd N
Palm Harbor, FL 34684
Phone (727) 781-1402
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
338 Whitesville Rd
Ste 103
Jackson, NJ 08527
1438 Western Ave
Albany, NY 12203
Phone (518) 542-1393
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
Organizations & group practices 7
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1497429948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 COUNTRYSIDE BLVD N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346844928",
"telephone_number": "727-784-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 COUNTRYSIDE BLVD N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346844928",
"telephone_number": "727-784-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "TERESA",
"middle_name": "ANN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "348054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.