Active NPI
Barbara Janet Clarke, R.N.
- Case Management Registered Nurse
- Valley Center, CA
National Provider Identifier
1265696272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 267989
- Practice address
- 11060 San Luis Rey Dr
Valley Center, CA 92082-3127 - Phone
- (760) 742-3142
- NPI assigned
- Jul 18, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 267989 | CA | Primary |
| Home Health Registered Nurse | 163WH0200X | 267989 | CA |
Addresses
Primary practice location
11060 San Luis Rey Dr
Valley Center, CA 92082-3127
Mailing address
11060 San Luis Rey Dr
Valley Center, CA 92082-3127
Phone (760) 742-3142
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RVN003670 | Other | CA | MEDICAL |
| 015370 | Other | CA | MEDICAL EPS |
| 23310337 | Other | CA | MEDICAL PIN |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267989 | CA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1265696272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11060 SAN LUIS REY DR",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920823127",
"telephone_number": "760-742-3142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11060 SAN LUIS REY DR",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920823127",
"telephone_number": "760-742-3142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "BARBARA",
"middle_name": "JANET",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "267989",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "267989",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "RVN003670",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EPS",
"identifier": "015370",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PIN",
"identifier": "23310337",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Center, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.