Britany Clark

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5228154 Issued in FL

Practice address

6338 SW 2ND St
Margate, FL 33068-1616

Phone

(954) 960-2126

Fax

(954) 960-2126

NPI assigned

Nov 22, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tri-County Life Care Inc

  • Home Health Agency
  • Davie, FL
  • NPI 1235239427
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1083250252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 SW 2ND ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330681616",
            "telephone_number": "954-914-3191",
            "fax_number": "954-960-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 SW 2ND ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330681616",
            "telephone_number": "954-960-2126",
            "fax_number": "954-960-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRITANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5228154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083250252",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Cisneros
• Danie Citerme
• City of Margate Florida
• City of Margate NW Focal Point Senior Center
• Jordan Claboine, OD
• Clear Smiles Margate LLC
• Michael Clerveus, M.D.
• Keren H Clotaire
• Deborah Clutter
• Mary Criss Cocks, OTR/L

• Licensed Practical Nurse in Margate, FL
• Providers in Margate, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.