Individual provider Active NPI

Kara Anne Clark, ACNP

  • Acute Care Nurse Practitioner
  • Chester, VA
National Provider Identifier
1710147145
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024167520 Issued in VA
Practice address
11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466
Phone
(804) 285-6880
Fax
(804) 706-1585
NPI assigned
Jun 10, 2008
Last updated
Mar 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024167520 VA Primary

Addresses

Primary practice location

11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466

Mailing address

11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466
Phone (804) 285-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100922000422 VA Practitioner - Nurse Practitioner 5890811343 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

601 Watkins Centre Pkwy
Suite 250
Midlothian, VA 23114-4412
Phone (804) 325-8750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Oct 28, 2015 Accepting new patients
Bon Secours St. Francis Medical Center, Inc. CurrentSince Apr 25, 2011 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Oct 1, 2017 Accepting new patients
Bon Secours Memorial Regional Medical Center Inc CurrentSince Oct 28, 2015 Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC CurrentSince Oct 1, 2017 Accepting new patients
Bon Secours St. Francis Medical Center LLC Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Bon Secours St. Francis Medical Center LLC CurrentSince Apr 25, 2011 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Neurological Associates, Inc. Past Accepting new patients

Locations

11601 Iron Bridge Rd
Ste 207
Chester, VA 23831
Phone (804) 285-6880

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

8262 Atlee Rd
Ste 330
Mechanicsville, VA 23116
Phone (804) 325-8720

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1710147145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 207",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-285-6880",
            "fax_number": "804-706-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 207",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-285-6880",
            "fax_number": "804-706-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KARA",
        "middle_name": "ANNE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024167520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.