Abigail B Clark, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

202100634RN Issued in OR

Practice address

1859 Rambling Dr
Springfield, OR 97477-2417

Phone

(541) 505-7386

Fax

(541) 653-9155

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aims Vascular Access, LLC

  • Nursing Care Agency
  • Springfield, OR
  • NPI 1164995981
  NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1881275642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 RAMBLING DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772417",
            "telephone_number": "541-505-7386",
            "fax_number": "541-653-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 RAMBLING DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772417",
            "telephone_number": "541-505-7386",
            "fax_number": "541-653-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ABIGAIL",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "202100634RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aims@aimsvascularaccess.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "address_1": "1859 Rambling Dr",
            "city": "Springfield",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974772417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Churchill, RN
• Kayla Ann Cianci, OTR/L
• Paula F Ciesielski, MD
• Vannessa Marie Cisneros
• Donald Walter Claeys, M.D.
• Albert Wayne Clark Jr.
• Brandon Clark
• David A Clark, DO
• Gail Marie Clark, LPN
• Joshua Clark, M.D.

• Home Health Registered Nurse in Springfield, OR
• Providers in Springfield, OR by specialty
• Home Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.