Candace Clarke, RN, LM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R40851 Issued in AR

Practice address

HC 33 Box 122
Harrison, AR 72601-9609

Phone

(870) 420-3514

Fax

(870) 420-3514

NPI assigned

Jul 24, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1669637005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 33 BOX 122",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019609",
            "telephone_number": "870-420-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 33 BOX 122",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019609",
            "telephone_number": "870-420-3514",
            "fax_number": "870-420-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CANDACE",
        "name_prefix": "Miss",
        "credential": "RN, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R40851",
            "primary": true
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "AR",
            "license": "R78816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor S Chu, M.D.
• Joni Michelle Chy, PT, DPT, OCS
• Cinderella Clark
• Jodie M Clark, LMT
• Natasha Clark
• Theera Rojanapremsuk Clarke, M.D.
• Cathy J Clary, MD
• Clear Skin Medical Solutions, LLC
• James Michael Coats, D.C.
• Terri Lynn Coats, D.C.

• Registered Nurse in Harrison, AR
• Providers in Harrison, AR by specialty
• Registered Nurse in Arkansas

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

Verify at the official NPI Registry.