IndividualActive
Taneisha Clark
NPI 1871479824 · Community Health Worker · Medina, OH
Taneisha Clark is a Community Health Worker provider in Medina, OH (NPI 1871479824).
Provider details
- NPI number
- 1871479824
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
189 Northland Dr
Medina, OH 44256-1534
Phone: (440) 260-6835
Street-level locationGet directions
Mailing address
343 W Bagley Rd
Berea, OH 44017-1370
Registry dates
- Enumerated
- 2025-08-14
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is Taneisha Clark's NPI number?
- Taneisha Clark's National Provider Identifier (NPI) is 1871479824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Taneisha Clark's specialty?
- Taneisha Clark is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Taneisha Clark located?
- Taneisha Clark's practice location on file with NPPES is 189 Northland Dr, Medina, OH 44256-1534.
- What is Taneisha Clark's phone number?
- The practice phone number listed in the NPPES registry for Taneisha Clark is (440) 260-6835.
- Is Taneisha Clark's NPI active?
- Yes — Taneisha Clark's NPI (1871479824) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.