Staceyann Simone Clarke

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

130571900 Issued in FL

Practice address

4507 Furling LN Ste 113
Destin, FL 32541-5341

Phone

(850) 533-1136

NPI assigned

Sep 9, 2026

Last updated

Sep 9, 2026By 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

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1649180969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 FURLING LN STE 113",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415341",
            "telephone_number": "850-533-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 FURLING LN STE 113",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415341",
            "telephone_number": "850-533-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "STACEYANN",
        "middle_name": "SIMONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "130571900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Rushford, LMHC, LLC
• Ted Chung, M.D.
• Mark Catlett Cifelli, PHARMD, BCPS, BCACP
• April Nicole Clark, PT
• Lisa Bardy Clark, M.D.
• Jennifer Clauson, LCSW
• Clear Mountain Emergency Physicians LLC
• Clear Vision Eyecare Associates LLC
• Coastal Pediatric Group
• Coastal Urology P a

• Home Health Aide in Destin, FL
• Providers in Destin, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.