Morris Andrew Clarke

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

14233 Issued in HI

Practice address

94-149 Awaia St
Waipahu, HI 96797-3214

Phone

(808) 450-7241

NPI assigned

Apr 29, 2019

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Apr 29, 2019.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1679137236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971281",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967978202",
            "telephone_number": "808-450-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-149 AWAIA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973214",
            "telephone_number": "808-450-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "MORRIS",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "14233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafal G Ciecierski, MD
• Katlin Cilliers
• Daysha Clark
• Dystinee M Clark
• Kathleen I Clark, LMT
• Crystal Clawson
• William E. Clevenger, MD
• Clinical Pharmacy Consultants
• Isabelle Coates
• Paul Coelho, APRN-RX

• All providers in Waipahu, HI
• Licensed Practical Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.