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Deactivated NPI 1164792925 Deactivated / Inactive NPI Female Practitioner

Barbara Ann Clark , LPN

Licensed Practical Nurse • Elyria, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Barbara Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 10, 2012
NPI Deactivation Date February 18, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Barbara Clark, LPN was a registered Licensed Practical Nurse practicing in Elyria, OH. Throughout an active medical career spanning 10 years, Barbara Clark provided care at the practice location at 1310 S ABBE RD until profile deactivation on 2022-02-18.

Practice Location & Contact Primary Location

Practice Address

1310 S Abbe Rd
Apt D

Elyria, OH 440357268

Telephone 4199085466

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Elyria, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
56 Specialists

Practicing in Elyria, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH 109791

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active January 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2012

Registered at 1310 S ABBE RD, APT D, ELYRIA, OH 440357268 (Tel: 4199085466)

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Updated Business Mailing Address January 10, 2012

Registered at 1310 S ABBE RD, APT D, ELYRIA, OH 440357268 (Tel: 4199085466)

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Provider Name / Credentials Updated January 10, 2012

Recorded as BARBARA CLARK, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2012

Licensed Practical Nurse (License #109791 in OH)

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Initial NPI Registration & Enumeration January 10, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164792925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2012
Last Update: January 10, 2012
Deactivation Date: February 18, 2022

Mailing Address

1310 S Abbe Rd, Apt D

Elyria, OH 440357268

Phone: 4199085466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.