Camarine Clarke, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

093258 Issued in GA

Practice address

163 Westridge Cir
Dallas, GA 30132-9232

Phone

(404) 570-0670

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By 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

State licenses

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1750976759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 WESTRIDGE CIR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329232",
            "telephone_number": "404-570-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 WESTRIDGE CIR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329232",
            "telephone_number": "404-570-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CAMARINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "093258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Clackum, OT
• Clark Ambulance Service, Inc.
• Clark EMS Ambulance Service (Clark Ambulance Service)
• Caroline Clark
• Sara Johnson Clark, M.ED.
• Lyndsay Claroni, DO
• Climb Chiropractic
• Cobb Eye Center, LLP
• Cobbwest Internal Medicine Associates
• Kristin Lee Cochran, MFT

• Licensed Practical Nurse in Dallas, GA
• Providers in Dallas, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.