Individual provider Active NPI

Patricia Klink Bartosik, MSN, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Medina, OH
National Provider Identifier
1669521910
Registry record updated Nov 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN162346 Issued in OH
Practice address
246 Northland Dr
Medina, OH 44256-3441
Phone
(330) 725-9195
NPI assigned
Jan 9, 2007
Last updated
Nov 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X COA06100NS OH
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CTP06100 OH
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN162346 OH Primary
Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist 364SP0811X CTP06100 OH

Addresses

Primary practice location

246 Northland Dr
Medina, OH 44256-3441

Mailing address

246 Northland Dr
Medina, OH 44256-3441
Phone (330) 725-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
COA06100NSOHMDAcute Care Clinical Nurse Specialist
RN162346OHMDAdult Psychiatric/Mental Health Clinical Nurse Specialist
CTP06100OHMDChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479945600000",
    "number": "1669521910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563441",
            "telephone_number": "330-725-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563441",
            "telephone_number": "330-725-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOSIK",
        "first_name": "PATRICIA",
        "middle_name": "KLINK",
        "name_prefix": "Ms.",
        "credential": "MSN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OH",
            "license": "COA06100NS",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "CTP06100",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN162346",
            "primary": true
        },
        {
            "code": "364SP0811X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Chronically Ill",
            "state": "OH",
            "license": "CTP06100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.