Clinicare Diagnostics, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CLINICARE DIAGNOSTICS, INC.

Practice address

2194 Main St
Suite I
Dunedin, FL 34698-5696

Phone

(866) 961-5589

Fax

(866) 961-5586

NPI assigned

Dec 18, 2009

Organization subpart

No

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

Authorized official

Name

Kimberly A Johns

Title

President

Phone

(866) 961-5589

Specialties & licenses 1

Addresses

Other names 1

• Clinicare Diagnostic Medical Services Doing business as

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1801125992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16264",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337666264",
            "telephone_number": "866-961-5589",
            "fax_number": "866-961-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 MAIN ST",
            "address_2": "SUITE I",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985696",
            "telephone_number": "866-961-5589",
            "fax_number": "866-961-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICARE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-961-5589"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinicare Diagnostic Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Ann Clark
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• Nurse Practitioner in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.