Individual provider Active NPI

Rachel Nichole Clarke

  • Psychiatric/Mental Health Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1003550328
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11019449 Issued in FL
Practice address
1651 NW 119TH St
North Miami, FL 33167-3119
Phone
(954) 440-6260
Fax
(305) 391-3025
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11019449 FL Primary

Addresses

Primary practice location

1651 NW 119TH St
North Miami, FL 33167-3119

Mailing address

1651 NW 119TH St
North Miami, FL 33167-3119
Phone (954) 440-6260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230404000433 FL Practitioner - Nurse Practitioner 7416322565 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019449FLMDPsychiatric/Mental Health Nurse Practitioner
NP9328617FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Sciences Orlando LLC CurrentSince Mar 22, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 19, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4700 Millenia Blvd
Ste 500
Orlando, FL 32839
Phone (813) 277-4571

5510 N Hesperides St
Tampa, FL 33614
Phone (727) 418-2567

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1003550328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331673119",
            "telephone_number": "954-440-6260",
            "fax_number": "305-391-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331673119",
            "telephone_number": "954-440-6260",
            "fax_number": "305-391-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "RACHEL",
        "middle_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11019449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.