Active NPI
Paula Jacqueline Clarke, RN
- Primary Care Clinic/Center
- Arlington, MA
National Provider Identifier
1033425376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- RN2257804
- Practice address
- 47 Melrose St
Arlington, MA 02474-8503 - Phone
- (781) 316-1603
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | RN2257804 | MA | Primary |
Addresses
Primary practice location
47 Melrose St
Arlington, MA 02474-8503
Mailing address
47 Melrose St
Arlington, MA 02474-8503
Phone (781) 316-1603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2257804 | MA | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1033425376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MELROSE ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748503",
"telephone_number": "781-316-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 MELROSE ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748503",
"telephone_number": "781-316-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "PAULA",
"middle_name": "JACQUELINE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MA",
"license": "RN2257804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.