Individual provider Active NPI

Sara B Lark, FNP

  • Family Health Clinical Nurse Specialist
  • Pounding Mill, VA
National Provider Identifier
1801271440
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
0024172689 Issued in VA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180118002573 VA Practitioner - Nurse Practitioner 7315244928 Reassigns benefits to 3 organizations
I20180705000711 WV Practitioner - Nurse Practitioner 7315244928
I20260623000822 DC Practitioner - Nurse Practitioner 7315244928

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

LicenseStateTypeSpecialty
0024172689VAMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC CurrentSince Dec 1, 2017 Accepting new patients
Town Center Urgent Care LLC CurrentSince Nov 11, 2023 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Dec 1, 2017 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Dec 1, 2017 Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Dec 1, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.