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

Mrs. Kolu S. Baysah Clark, DNP

Individual provider Gerontology Nurse Practitioner · NPI 1336535624

Mrs. Kolu S. Baysah Clark, DNP is a Nurse Practitioner in Warwick, Rhode Island. Qualified in 2017, 9 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
9
Licensed in
MA, RI
In the registry since
2015
Specialties on file
5
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone: (401) 737-7010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Harvard Rd, Shirley, MA 01464-2434 — (978) 425-4341
  • 55 Lake Ave N, Worcester, MA 01655-0002 — (508) 334-8515
  • 593 Eddy St, Providence, RI 02903-4923 — (401) 793-9166

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN00086 (RI)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2269378 (MA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APRN00086 (RI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN2269378 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN00086 (RI)

Record details

NPI number1336535624
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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