Active NPI
Paul Clarke, CRNP PC
- Pediatric Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1396489613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-137604
- Practice address
- 1600 7TH Ave S
Birmingham, AL 35233-1711 - Phone
- (205) 638-9387
- Fax
- (205) 638-3091
- NPI assigned
- Apr 22, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-137604 | AL | Primary |
Addresses
Primary practice location
1600 7TH Ave S
Birmingham, AL 35233-1711
Mailing address
1600 7TH Ave S Ste 102
Birmingham, AL 35233-1711
Phone (205) 638-9387
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-137604 | AL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1396489613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 7TH AVE S STE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331711",
"telephone_number": "205-638-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331711",
"telephone_number": "205-638-9387",
"fax_number": "205-638-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "PAUL",
"credential": "CRNP PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-137604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.