Individual provider Active NPI

April Dawn Clark, NP

  • Adult Health Nurse Practitioner
  • Wadsworth, OH
National Provider Identifier
1669144846
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0029716 Issued in OH
Practice address
860 Broad St
Wadsworth, OH 44281-9052
Phone
(330) 331-7106
Fax
(330) 331-7556
NPI assigned
Oct 5, 2021
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0029716 OH Primary
Family Nurse Practitioner 363LF0000X 0029716 OH
Gerontology Nurse Practitioner 363LG0600X 0029716 OH

Addresses

Primary practice location

860 Broad St
Wadsworth, OH 44281-9052

Mailing address

PO Box 932909
Cleveland, OH 44193-0026
Phone (330) 854-4281

Other names 1

  • April Dawn Bos Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address April.Bos@chci.eclinicaldirectplus.com Direct Community Health Care Inc.

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
I20211015002613 OH Practitioner - Nurse Practitioner 4183022486 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Serenagroup Professional Services, P.C. CurrentSince Apr 22, 2024 Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

Interoperability endpoints

  • Direct secure messaging: april.bos@chci.eclinicaldirectplus.com

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1669144846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932909",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930026",
            "telephone_number": "330-854-4281",
            "fax_number": "330-854-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BROAD ST",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819052",
            "telephone_number": "330-331-7106",
            "fax_number": "330-331-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "APRIL",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "0029716",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0029716",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "0029716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "April.Bos@chci.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Care Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "860 Broad St",
            "city": "Wadsworth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442819052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "BOS",
            "middle_name": "DAWN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.