Active NPI
Clarissa Hake
- Acute Care Nurse Practitioner
- West Chester, PA
National Provider Identifier
1083210983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP021283
- Practice address
- 701 E Marshall St
West Chester, PA 19380-4412 - Phone
- (610) 431-5000
- Fax
- (610) 431-5025
- NPI assigned
- Dec 7, 2020
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP021283 | PA | Primary |
Addresses
Primary practice location
701 E Marshall St
West Chester, PA 19380-4412
Mailing address
701 E Marshall St
West Chester, PA 19380-4412
Phone (610) 431-5000
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1083210983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E MARSHALL ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193804412",
"telephone_number": "610-431-5000",
"fax_number": "610-431-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E MARSHALL ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193804412",
"telephone_number": "610-431-5000",
"fax_number": "610-431-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKE",
"first_name": "CLARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP021283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.