Tatiana Clark, A.R.N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP9253515 Issued in FL

Practice address

7005 Cortez Rd W
Bradenton, FL 34210-2509

Phone

(941) 465-4800

Fax

(855) 637-3923

NPI assigned

Apr 7, 2016

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

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Florida Physician Network, LLCGroup PAC ID 1153476544, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Bradenton, FL, CCN 107540
• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• West Florida Physician Network, LLC

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1376779496
  Medicare reassignment Care Compare group NPD

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

• Caresouth HHA Holdings of the Bay Area, LLC

  • Home Health Agency
  • Bradenton, FL
  • NPI 1477506780
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation
• Manatee Memorial Hospital L P

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1891159752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102509",
            "telephone_number": "941-465-4800",
            "fax_number": "855-637-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102509",
            "telephone_number": "941-465-4800",
            "fax_number": "855-637-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TATIANA",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9253515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TATIANA.CLARK@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7005 Cortez Rd W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342102509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elaine Rutherford Clark, LCSW
• Jennifer Michele Clark, LCSW
• Mary Ann Clark, PH.D.
• Melissa Kipp Clark, AU.D.
• Michelle Elise Clark, N.D.
• Virginia H Clark, OTR, CHT
• Janelle Colleen Clarkin, P.T., D.P.T.
• Karla E Clavelo
• Dave F Clawson
• Gemma L. Clayson, LMFT

• Gerontology Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.