Susan Clarke, MB BCH, MSC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1920 W 1St St
Piedmont Plaza 1, Second Floor
Winston Salem, NC 27104-4220

Phone

(336) 716-2794

Fax

(336) 716-3206

NPI assigned

May 1, 2008

Last updated

May 1, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1033385984",
    "addresses": [
        {
            "country_code": "IE",
            "country_name": "Ireland",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "7 ELM PARK",
            "address_2": "DONNYBROOK",
            "city": "DUBLIN",
            "state": "IRELAND",
            "postal_code": "00004",
            "telephone_number": "011353863483418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W 1ST ST",
            "address_2": "PIEDMONT PLAZA 1, SECOND FLOOR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044220",
            "telephone_number": "336-716-2794",
            "fax_number": "336-716-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MB BCH, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Raven Clarke
• Hannah Grace Clarke, RD, LDN, PA-C
• Ladonna G Clarke
• Nadicca Clarke, BSN, RN
• Phillip C Clarke, MS, EDS, NCC, LPC
• Faith Clary, OT
• Meredith Marie Clary, M.D.
• Adrienne Charles Classen, M.D.
• Tara Judith Claudio-Rivera
• Betsy H Clauser

• Student in an Organized Health Care Education/Training Program in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.