Ryanne Clarke, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP013279 Issued in PA

Practice address

12A Westbank Expy
Gretna, LA 70053

Phone

(504) 509-4800

Fax

(504) 509-4802

NPI assigned

Oct 15, 2013

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Priority Health CareGroup PAC ID 5395972988, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryanne.clarke.1@31421.direct.athenahealth.com

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

• Priority Health Care

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1609136563
  Medicare reassignment Care Compare group NPD
• Priority Health Care

  • Federally Qualified Health Center (FQHC)
  • Gretna, LA
  • NPI 1346725108
  NPD
• Priority Health Care

  • Federally Qualified Health Center (FQHC)
  • Gretna, LA
  • NPI 1841522711
  NPD (past)

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1770911406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12A WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533659",
            "telephone_number": "504-509-4800",
            "fax_number": "504-509-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12A WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70053",
            "telephone_number": "504-509-4800",
            "fax_number": "504-509-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Coudersport",
            "state": "PA",
            "postal_code": "169158161",
            "country_code": "US",
            "telephone_number": "814-274-5276",
            "fax_number": "814-274-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "RYANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Gretna (Gretna Police Department-Emergency Medical)
• Daijona Clair
• Chela Clark
• Kayla Clark, CRNA
• Sydnee Clark
• Stacey Bradford Clasen, M.D.
• Tanyaka B Cline, MSW, LMSW
• Valerie Cloud, MHS BA
• Karen R. Cockerham, M.D.
• Cognitive Solutions, LLC

• Family Nurse Practitioner in Gretna, LA
• Providers in Gretna, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.