Meredith Clark, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11696 Issued in OH

Practice address

8000 Ravines Edge CT Ste 200
Columbus, OH 43235-5422

Phone

(614) 304-3444

NPI assigned

Sep 17, 2010

Last updated

Apr 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perkins Spine and Sports Medicine LLCGroup PAC ID 6709229297, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: meredith.clark.1@17598.direct.athenahealth.com
• Direct secure messaging: meredith.clark.1@30458.direct.athenahealth.com

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.

• Perkins Spine and Sports Medicine, LLC

  dba Perkins Spine and Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Dublin, OH
  • NPI 1578249157
  Medicare reassignment Care Compare group NPD
• Levey Innovative Therapeutics, LLC

  • Infusion Therapy Clinic/Center
  • Columbus, OH
  • NPI 1801439310
  Medicare reassignment NPD
• The Boster Center for Multiple Sclerosis, LLC

  • Neurology Physician
  • Columbus, OH
  • NPI 1174166680
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner, OH

  Medicare reassignment NPD
• Perkins Spine and Sports Medicine, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dublin, OH
  • NPI 1871311209
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1710295225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 RAVINES EDGE CT STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355422",
            "telephone_number": "614-304-3444",
            "fax_number": "614-304-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RAVINES EDGE CT STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355422",
            "telephone_number": "614-304-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MEREDITH",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "11696",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11696NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Clark, LPN
• Matthew Louis Clark, PHARMD
• Megan Elizabeth Hoppert Clark, OTR
• Melissa Clark, LMT
• Melissa Clark
• Meredith Kelly Clark, MSN, APRN, FNP-BC
• Michael Thomas Clark
• Natalie Loree Clark, PA-C
• Natalie Marie Clark, P.C.
• Natalie Nanette Clark

• Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.