Individual provider Active NPI

Clare Morales, RNFA

  • Surgical Physician Assistant
  • Lake Worth, FL
National Provider Identifier
1851408587
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
RN1846872 Issued in FL
Practice address
4665 S Congress Ave
Suite 100
Lake Worth, FL 33461-4754
Phone
(561) 964-2211
Fax
(561) 649-2915
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X RN1846872 FL Primary

Addresses

Primary practice location

4665 S Congress Ave
Suite 100
Lake Worth, FL 33461-4754

Mailing address

13481 La Mirada Cir
Wellington, FL 33414-3955
Phone (561) 964-2211

Other identifiers 1

IdentifierTypeStateIssuer
310914300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN1846872FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Multispecialty Group of Florida LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851408587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13481 LA MIRADA CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143955",
            "telephone_number": "561-964-2211",
            "fax_number": "561-649-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 S CONGRESS AVE",
            "address_2": "SUITE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614754",
            "telephone_number": "561-964-2211",
            "fax_number": "561-649-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "CLARE",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "RN1846872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310914300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.