Cecelia Clarke, NP-C, MD

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024166730 Issued in VA

Practice address

1820 E Warm Springs Rd Ste 140
Las Vegas, NV 89119-4593

Phone

(702) 779-3956

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rock Landing Psychological Group PLCGroup PAC ID 1052209954, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

Practice roles

Locations

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.

• Rock Landing Psychological Group PLC

  • Psychiatry Physician
  • Newport News, VA
  • NPI 1528159183
  Medicare reassignment Care Compare group NPD
• Fairfield Psychological Assoc.

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1801068606
  Medicare reassignment NPD
• Horizon Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Waverly, VA
  • NPI 1053538421
  NPD (past)
• Horizon Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Ivor, VA
  • NPI 1437378031
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1023097615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GRANDVILLE ARCH",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306266",
            "telephone_number": "757-332-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E WARM SPRINGS RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194593",
            "telephone_number": "702-779-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CECELIA",
        "credential": "NP-C, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023097615",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyatt Clark
• Yolanda Clark
• Za'Khia Miracle Clark
• Julienne Faye Clarke Hardy
• Evelyn Clarke-Sotomayor
• Deneane Marie Clarke
• Julene Clarke
• Larry Isaiah Clarke, QMHA
• Marvin Clarke
• Tatiana Clarke, M.S., CCC-SLP

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.