Consuelo Venegas Clarke, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1073109 Issued in TX

Practice address

8738 N Lamar Blvd
Austin, TX 78753-5410

Phone

(512) 834-2035

NPI assigned

May 26, 2022

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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.

• Capitol Gastro, PA

  • Gastroenterology Physician
  • Austin, TX
  • NPI 1588198808
  Medicare reassignment NPD
• Thrive Physicians PLLC

  dba Thrive Medical Clinic

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1821585340
  Medicare reassignment NPD
• Family Medicine Clinic

  • Family Medicine Physician
  • Austin, TX
  • NPI 1841868965
  NPD

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1053059196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SUNNY OAKS CT",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602740",
            "telephone_number": "512-775-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8738 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535410",
            "telephone_number": "512-834-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CONSUELO",
        "middle_name": "VENEGAS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elaine Clark, RPH
• Shamyra Clark
• Stacey Leigh Clark, MD
• Stephen Sidney Clark, M.D.
• Audrey Clarke, PT, DPT
• Dave F Clarke, MD
• Emily Lynn Clarke, MD
• Erica Clarke
• Ewa T Clarke, HC
• Gerald P Clarke, M.D.

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.