Individual provider Active NPI

Patricia Ann Clark, APRN, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1619495819
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000022832 Issued in TN
Practice address
3200 W End Ave
Nashville, TN 37203-1330
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 116862 NE
Family Nurse Practitioner 363LF0000X 3-002864 AL
Family Nurse Practitioner 363LF0000X 0043138 OH
Family Nurse Practitioner 363LF0000X LG-0013874 DE
Family Nurse Practitioner 363LF0000X 0000022832 TN Primary

Addresses

Primary practice location

3200 W End Ave
Nashville, TN 37203-1330

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

2931 Berry Hill Dr
Nashville, TN 37204-3135
Phone (615) 678-7028

Other practice location 2

300 20th Ave N Ste G1
Nashville, TN 37203-2132
Phone (615) 941-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20171025002647 TN Practitioner - Nurse Practitioner 9830465467 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3-002864ALMDFamily Nurse Practitioner
LG-0013874DEMDFamily Nurse Practitioner
116862NEMDFamily Nurse Practitioner
0000022832TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Jun 29, 2023 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Jun 3, 2021 Accepting new patients
Crossroads Medical Group, PLLC CurrentSince Aug 28, 2019 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 3, 2021 Accepting new patients

Locations

5410 Maryland Way
Ste 400
Brentwood, TN 37027

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 20th Ave N
Ste G1
Nashville, TN 37203
Phone (615) 284-7035

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

Interoperability endpoints

  • Direct secure messaging: patricia.clark.1@22854.direct.athenahealth.com

Organizations & group practices 4

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1619495819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W END AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031330",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 Berry Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372043135",
            "country_code": "US",
            "telephone_number": "615-678-7028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 20th Ave N Ste G1",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032132",
            "country_code": "US",
            "telephone_number": "615-941-8550",
            "fax_number": "615-941-8507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116862",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002864",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0043138",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000022832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.