Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Tenita Clark, CNP

Individual provider Registered Nurse · NPI 1578752267

Kimberly Tenita Clark, CNP is a Nurse Practitioner in Berea, Ohio. Qualified in 2012, 14 years ago. Practices with Renaissance Behavioral Health LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2007
Specialties on file
4
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

202 E Bagley Rd
Berea, OH 44017-2058
Phone: (440) 260-8327
Fax: (440) 260-8305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.14022 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 304700 (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence A0812095 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence COA.14022 (OH)

Record details

NPI number1578752267
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 17, 2007
Last updated in NPPESOctober 3, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Renaissance Behavioral Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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