Jonathan Andrew Clark, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11000850 Issued in FL

Practice address

5042 12TH Ave N
St Petersburg, FL 33710-6011

Phone

(727) 631-2091

NPI assigned

Mar 27, 2019

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Transitions Healthcare LLCGroup PAC ID 5890166631, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care Home health agency, Oldsmar, FL, CCN 108290

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Transitions Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1821707407
  Medicare reassignment Care Compare group NPD
• Episource LLC

  • Nurse Practitioner
  • Gardena, CA
  • NPI 1225390289

  FL

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pinnacle Home Care of Pinellas, LLC

  dba Pinnacle Home Care

  • Home Health Agency
  • Oldsmar, FL
  • NPI 1689600082
  Care Compare affiliation

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1790246270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 12TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106011",
            "telephone_number": "727-631-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 12TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106011",
            "telephone_number": "727-631-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Joan Clark, APRN
• Colleen Clark, LMHC
• Fred Elton Clark III, M.D.
• Gail E Clark, LCSW
• James Michael Clark, RPH
• Karen Yvette Clark, M.S.
• Kenneth John Clark Jr., DPT
• Masharia Ann Clark, ARNP
• Roy George Clark, DMD
• Thomas G. Clark, D.C.

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.