Active NPI
Sara B Lark, FNP
- Family Health Clinical Nurse Specialist
- Pounding Mill, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- 0024172689
- Practice address
- 111 Fashion Rd Ste D
Pounding Mill, VA 24637-1200 - Phone
- (276) 596-6375
- Fax
- (276) 963-0919
- NPI assigned
- Jul 24, 2015
- Last updated
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 0024172689 | VA | Primary |
Addresses
Primary practice location
111 Fashion Rd Ste D
Pounding Mill, VA 24637-1200
Mailing address
6719 Governor GC Peery Hwy
Ste 2400
Richlands, VA 24641
Phone (276) 836-6778
Other practice location 1
1 Clinic Dr
Richlands, VA 24641-1102
Phone (276) 964-6771
Other practice location 2
185 Redwood Ave
Suite 102
Pennington Gap, VA 24277-2599
Phone (276) 546-5310 ext. 3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WV, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5750 Johnston St
Suite 205
Lafayette, LA 70503-5300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172689 | VA | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Valley Physicians Associates LLC | Current | Accepting new patients | |
| Town Center Urgent Care LLC | Current | Accepting new patients | |
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| Clinch Valley Physicians Associates LLC | Current | Accepting new patients | |
| Clinch Valley Urology, LLC | Past | Accepting new patients | |
| Integrated WV LLC | Past | Accepting new patients |
Locations
398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600
1107 Riverview St
Grundy, VA 24614
Phone (276) 244-1557
1039 Mayberry Crossing Dr
Ste Ab
Moneta, VA 24121
Phone (540) 210-8908
111 Fashion Rd
Ste D
Pounding Mill, VA 24637
Phone (276) 596-6375
6719 Governor Gc Peery Hwy
Ste 2400
Richlands, VA 24641
Phone (276) 963-2535
6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- sara.lark.1@30160.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Surgery Physician
- Richlands, VA
- NPI 1609994284
-
dba Clinch Valley Physicians
- Cardiovascular Disease Physician
- Richlands, VA
- NPI 1104265214
-
- Clinic/Center
- Grundy, VA
- NPI 1386163822
-
dba Clinch Valley Family Care
- Rural Health Clinic/Center
- Cedar Bluff, VA
- NPI 1669157285
-
dba Clinch Valley Physicians
- Rural Health Clinic/Center
- Cedar Bluff, VA
- NPI 1821339540
-
- Urology Physician
- Richlands, VA
- NPI 1114955168
-
- Hospitalist Physician
- Bluefield, WV
- NPI 1750850319
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grundy, VA
- NPI 1225036346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1801271440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6719 GOVERNOR GC PEERY HWY",
"address_2": "STE 2400",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "24641",
"telephone_number": "276-836-6778",
"fax_number": "877-639-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FASHION RD STE D",
"city": "POUNDING MILL",
"state": "VA",
"postal_code": "246371200",
"telephone_number": "276-596-6375",
"fax_number": "276-963-0919"
}
],
"practiceLocations": [
{
"address_1": "1 Clinic Dr",
"address_purpose": "LOCATION",
"city": "Richlands",
"state": "VA",
"postal_code": "246411102",
"country_code": "US",
"telephone_number": "276-964-6771",
"fax_number": "276-964-1314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "185 Redwood Ave",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Pennington Gap",
"state": "VA",
"postal_code": "242772599",
"country_code": "US",
"telephone_number": "276-546-5310 x3131",
"fax_number": "276-546-5469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARK",
"first_name": "SARA",
"middle_name": "B",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "VA",
"license": "0024172689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pounding Mill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.