Lora L Clarke, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP010247 Issued in PA

Practice address

454 Enterprise Dr
Royersford, PA 19468-1200

Phone

(610) 495-3330

NPI assigned

Aug 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  NPD (past)
• Childrens Health Care Associates of New Jersey PC

  • Pediatrics Physician
  • Voorhees, NJ
  • NPI 1427152917
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1740413723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 ENTERPRISE DR",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ENTERPRISE DR",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681200",
            "telephone_number": "610-495-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Arcola Rd",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263954",
            "country_code": "US",
            "telephone_number": "484-565-8440",
            "fax_number": "610-409-6160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "LORA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MLHC MEDICARE AA #",
            "identifier": "440771",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carnations Nursing Services LLC
• Kerri Ann Carpenter, MSOT, OTR/L
• Kyutaek Daniel Cha, D.D.S.
• Bhavneet Kaur Chawla, DDS
• Manisha Choudhary
• Cierra Clary, MA, LAPC
• Joel Clyman, D.M.D.
• Serena Cohen, OD
• Colonial Family Eyecare, LLC
• Jenna Cominsky

• Family Nurse Practitioner in Royersford, PA
• Providers in Royersford, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.