Active NPI
Lalia Clarke
- Family Nurse Practitioner
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F345061
- Practice address
- 10201 66TH Rd
Forest Hills, NY 11375-2029 - Phone
- (718) 830-1595
- Fax
- (718) 925-6626
- NPI assigned
- Dec 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavioral Neurology & Neuropsychiatry Physician
- New York, NY
- NPI 1114894540
FL, NC, PA, RI, WV
-
- Emergency Medicine Physician
- New York, NY
- NPI 1700558798
CT, DE, FL, LA, NC, PA, RI, VA, VT, WV
-
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1295707966
-
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1366920530
-
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1396078135
-
- Federally Qualified Health Center (FQHC)
- North Chesterfield, VA
- NPI 1710225818
-
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1871818153
-
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1881883007
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vernon J Harris East End Community Health Center
Practice addresses (Care Compare)
719 N 25TH St
Richmond, VA 23223-6539
Phone (804) 780-0840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, NM, DE, CT, RI, VT, VA, WV, PA, NC, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 12
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200325003016 | NY | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 2 organizations |
| I20241108002050 | FL | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 5 organizations |
| I20250219001139 | NM | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 2 organizations |
| I20250227000287 | DE | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 1 organization |
| I20250228002481 | CT | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 1 organization |
| I20250228003087 | RI | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 3 organizations |
| I20250228003180 | VT | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 1 organization |
| I20250324001860 | VA | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 1 organization |
| I20250407000997 | WV | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 4 organizations |
| I20260101000131 | PA | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 3 organizations |
| I20260202001806 | NC | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 2 organizations |
| I20260527001976 | LA | Practitioner - Nurse Practitioner | 3779911755 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F345061 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Medical Services PC | Current | Accepting new patients | |
| Dr Rebman Medical PA | Current | Accepting new patients | |
| Daniel Funsch Jr, M.D., P.C. | Current | Accepting new patients | |
| Dr Vezza Medical Services PC | Current | Accepting new patients | |
| Dr Rebman BH LLC | Current | Accepting new patients | |
| Vernon J Harris East End Community Health Center | Past | Accepting new patients |
Locations
715 E King St
Seaford, DE 19973
Phone (302) 536-5628
633 NE 167th St
Ste 301
North Miami Beach, FL 33162
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
228 Smith Chapel Rd
Mount Olive, NC 28365
Phone (919) 658-9522
103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300
885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990
100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261
100 Chambers St
Cumberland, RI 02864
Phone (401) 724-7500
11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414
596 Sheldon Rd
Saint Albans, VT 05478
Phone (802) 524-6534
1390 N Poplar Fork Rd
Hurricane, WV 25526
Phone (304) 757-7826
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJBDAA
- lclarke1494707@nychhc.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F345061 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10201 66TH Rd
Forest Hills, NY 11375-2029
Mailing address
21 Lillian Ave
Freeport, NY 11520-1608
Phone (516) 770-8936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2019.
{
"created_epoch": "1575158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575158400000",
"number": "1831736552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 LILLIAN AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115201608",
"telephone_number": "516-770-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 66TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752029",
"telephone_number": "718-830-1595",
"fax_number": "718-925-6626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "LALIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-01",
"last_updated": "2019-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F345061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.