Clarissa Janelle Poole

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

86056 Issued in WV

Practice address

11600 Boardwalk Ave NE
Cumberland, MD 21502-8127

Phone

(240) 362-4146

NPI assigned

Feb 27, 2021

Last updated

Feb 27, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1629662812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 BOARDWALK AVE NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028127",
            "telephone_number": "240-362-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 BOARDWALK AVE NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028127",
            "telephone_number": "240-362-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "CLARISSA",
        "middle_name": "JANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": "86056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagar Pokhrel, MD
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• Jeffrey Alan Poland, OD
• Kenneth John Pompilio, MD
• Sherri Pontious
• Vikramaditya Poonai, M.D.
• Lisa Porter, LGSW
• Positive Progression, PC
• Positive Transitions, LLC
• Potomac Case Management Services, Inc.

• Personal Care Attendant in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Personal Care Attendant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.