Individual provider Active NPI

Lalia Clarke

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1831736552
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345061 Issued in NY
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.

View all 13

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 19 clinicians

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, LA12 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 12

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
F345061NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Medical Services PC CurrentSince Mar 20, 2025 Accepting new patients
Dr Rebman Medical PA CurrentSince Jul 15, 2025 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Jun 1, 2025 Accepting new patients
Dr Vezza Medical Services PC CurrentSince May 15, 2025 Accepting new patients
Dr Rebman BH LLC CurrentSince Nov 3, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA
  • Direct secure messaging: lclarke1494707@nychhc.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F345061 NY Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.