Active NPI
April Dawn Clark, NP
- Adult Health Nurse Practitioner
- Wadsworth, OH
National Provider Identifier
1669144846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0029716
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenagroup Professional Services, P.C. | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Akron, OH
- NPI 1568816965
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.