Antoinette Nadine Clarke, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

7055753UPD Issued in NY

Practice address

22 Manitou Ave
Poughkeepsie, NY 12603-2736

Phone

(845) 891-5889

NPI assigned

Apr 12, 2011

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1831489723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MANITOU AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032736",
            "telephone_number": "845-891-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MANITOU AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032736",
            "telephone_number": "845-891-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ANTOINETTE",
        "middle_name": "NADINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "7055753UPD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Specialty Pharmacy LLC (City Drug)
• Kimberly Ann Clare, M.D.
• Clarity Optical Corp (the ultimate spectacle)
• Adiana Clark, LPN
• Alexis Clarke, LPN
• Dean Marshall Clarke Jr., LMHC
• Katherine Louise Clarke, PA-C
• Sarah Clarke, LMSW
• Kamala Claudio
• Karl Chimere Claver-Obinna, MD

• Licensed Practical Nurse in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 Jan 5, 2012; 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.