Linda W Clarke, RN BSN M.ED NCSN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

041.195463 Issued in IL

Practice address

7406 S Oglesby Ave
Chicago, IL 60649-3312

Phone

(773) 768-1117

Fax

(773) 933-6994

NPI assigned

Mar 4, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1164745113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 S OGLESBY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493312",
            "telephone_number": "773-768-1117",
            "fax_number": "773-933-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 S OGLESBY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493312",
            "telephone_number": "773-768-1117",
            "fax_number": "773-933-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "LINDA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "RN BSN M.ED NCSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "IL",
            "license": "041.195463",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "041.195463",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041.195463",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "IL",
            "license": "041.195463",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041.195463",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "IL",
            "license": "041.195463",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IL",
            "license": "041.195463",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "IL",
            "license": "041.195463",
            "primary": false
        },
        {
            "code": "364SS0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, School",
            "state": "IL",
            "license": "041.195463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Clarke
• Kelly Clarke, PT, DPT
• Laura A Clarke, M.D.
• Lauren Clarke, MD
• Lauren Elizabeth Clarke
• Lois Clarke, M.D.
• Louisa Clarke, RBT
• Maria Clarke, MD
• Michael J Clarke, MD
• Nora M Clarke, FNP

• Administrator Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Administrator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.