Marcia Caroline Clarke-Pennant

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

249451AP Issued in GA

Practice address

12 Tibbits Ave
White Plains, NY 10606-2438

Phone

(914) 287-7200

NPI assigned

Nov 30, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1215441092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TIBBITS AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106062438",
            "telephone_number": "914-287-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE-PENNANT",
        "first_name": "MARCIA",
        "middle_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "249451AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO NOT HAVE A NPI NUMBER",
            "identifier": "999999999999",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• Debra Clampet, CCC-SLP
• Daniel Michael Clancy, NYCPS
• Caitlin Clark
• Noelle Clark, LICENSED SPED ED
• Eleanor Clarke, REGISTERED NURSE
• Kildare Clarke, MD JD
• John Clarkin, PHD
• Kathleen Clarkson, LCSW
• Sheila Occiano Clasio, PT

• Family Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.