SARA B LARK (NPI# 1801271440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801271440 |
| Entity Type | Individual |
| Full Name | SARA B LARK |
| Credential | FNP |
| Practice Address |
111 Fashion Rd Ste D Pounding Mill VA 24637-1200 |
| Mailing Address |
6719 Governor Gc Peery Hwy Ste 2400 Richlands VA 24641 |
| Practice Telephone | 2765966375 |
| Practice Fax Number | 2769630919 |
| Mailing Telephone | 2768366778 |
| Mailing Fax Number | 8776390057 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
0024172689 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Clinic Dr, Richlands, VA 246411102 | 2769646771 | 2769641314 |
| 185 Redwood Ave, Suite 102, Pennington Gap, VA 242772599 | 2765465310 | 2765465469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013545110 | Sara Jessanne Lark | Nurse Practitioner | 203 Hospital Dr, Raton, NM 87740-2012 | 2020-04-01 |
| Street Address |
111 FASHION RD STE D |
| City | POUNDING MILL |
| State | VA |
| Zip Code | 24637-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609593 | Luke Aaron Richardson | Pharmacist | 13320 G.c. Peery Highway, Pounding Mill, VA 24637 | 2020-11-02 |
| 1356986137 | Anita Lynn Hicks | Technician | 462 Estates Drive, Pounding Mill, VA 24637 | 2019-11-15 |
| 1740741479 | Jess Owen Beavers | Pharmacist | 13320 G.c. Peery Hwy, Pounding Mill, VA 24637 | 2019-03-26 |
| 1184898777 | Shannon Rose Mcgraw | Pharmacist | 12252 Governor Gc Peery Highway, Pounding Mill, VA 24637 | 2008-04-15 |
| 1922177823 | Kerry Keith Cline | Optometrist | 113 Short Street, Pounding Mill, VA 24637 | 2006-11-06 |
| 1871694950 | Fred A Sayers Jr. | Chiropractor | 226 Clay Drive, Pounding Mill, VA 24637 | 2006-09-25 |
| 1003911884 | Claypool Hill Pharmacy | Pharmacy | 12252 Govenor George C Peery Hwy, Pounding Mill, VA 24637 | 2006-09-14 |
| 1548861115 | Jeffery A Miller | Pharmacist | 13320 G.c. Peery Hwy, Pounding Mill, VA 24637 | 2020-11-02 |
| 1275707705 | Jody Dow Fuller | Pharmacist | 12252 Governor Gc Peery Highway, Pounding Mill, VA 24637 | 2008-04-16 |
| 1811170350 | Sayers Chiropractic PC | Chiropractor | 226 Clay Drive, Pounding Mill, VA 24637 | 2007-12-06 |
| Find all providers in zip 24637 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1982143343 | Emily Floode | Clinical Nurse Specialist | 8327 Terra Grande Ave, Springfield, VA 22153-3516 | 2017-02-17 |
| 1255514196 | Carmen M. Roaquin | Clinical Nurse Specialist | 3600 High St, Portsmouth, VA 23707-3236 | 2007-12-14 |
| 1225220411 | Mary Jo Lawrence | Clinical Nurse Specialist | 10696 Crestwood Dr Ste B, Manassas, VA 20109-4411 | 2007-08-13 |
| 1871071522 | Laszlo Vecsei | Clinical Nurse Specialist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-08-04 |
| 1487046702 | Rebecca Bulman | Clinical Nurse Specialist | 4510 Plank Rd, Ste 200, Fredericksburg, VA 22407-0138 | 2015-02-24 |
| 1629406996 | Family Care Center | Clinical Nurse Specialist | 1109 Plaza Dr, Grundy, VA 24614-6780 | 2013-10-24 |
| City | POUNDING MILL |
| Zip Code | 24637 |
Please comment or provide details below to improve the information on SARA B LARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.