Individual provider Active NPI

Lauri-Ann Clarke, PMHNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1780403550
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11035666 Issued in FL
Practice address
5300 East Ave
West Palm Beach, FL 33407-2387
Phone
(561) 848-5200
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11035666 FL Primary

Addresses

Primary practice location

5300 East Ave
West Palm Beach, FL 33407-2387

Mailing address

5300 East Ave
West Palm Beach, FL 33407-2387
Phone (561) 848-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260226002889 FL Practitioner - Certified Clinical Nurse Specialist (CNS) 2769963776 Reassigns benefits to 1 organization
I20260316003315 FL Practitioner - Nurse Practitioner 2769963776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

1080 NW 15TH St
Boca Raton, FL 33486-1331
Phone (786) 414-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11035666FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Nursing LLC Psychiatric/Mental Health CurrentSince Mar 1, 2026 Accepting new patients
Senior Living Memory Health, Inc. CurrentSince Jan 23, 2026 Accepting new patients

Locations

1080 NW 15th St
Boca Raton, FL 33486
Phone (561) 330-8451

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1780403550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 EAST AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072387",
            "telephone_number": "561-848-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 EAST AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072387",
            "telephone_number": "561-848-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "LAURI-ANN",
        "credential": "PMHNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11035666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.