Carla Adelle Clarke, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

5617191 Issued in NY

Practice address

76 Whittier Drive
Thornwood, NY 10594-1714

Phone

(914) 747-3292

NPI assigned

Nov 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1891976544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 EAST 220TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691201",
            "telephone_number": "718-654-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WHITTIER DRIVE",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941714",
            "telephone_number": "914-747-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CARLA",
        "middle_name": "ADELLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5617191",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2601141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02073870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosaria Antonia Callara
• Deborah Chai
• Jennifer Anne Chiazzese
• Chiropactic & Wellness Care, PLLC,
• Rosa Cifre, LCSW
• Kristen M. Coffey
• Complete Health Ny Medical PLLC
• CVS
• CVS Albany LLC
• CVS Albany LLC

• All providers in Thornwood, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.