Samantha Clarke-Thyme

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

321130-1 Issued in NY

Practice address

1261 E 57TH St
Brooklyn, NY 11234-3333

Phone

(239) 321-9034

NPI assigned

Feb 9, 2015

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1750772091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 E 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 E 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343333",
            "telephone_number": "239-321-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE-THYME",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "321130-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yonette Felicia Clarke-Headley, FNP
• Nicandra Clarke-Horne, PT
• Viola N. Clarke-Mason, NP
• Andrea Clarke-Moore, M.D.
• Marcia Elaine Clarke-Smith, MSED
• Alicia Clarke
• Almaz Clarke
• Alyssa Nicole Clarke, L.M.S.W.
• Amahny Clarke
• Carl L Clarke, RPA-C

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.