SHAUNDEL SERITA CLARKE (NPI# 1619319803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619319803 |
Entity Type | Individual |
Full Name | SHAUNDEL SERITA CLARKE |
Credential | NP |
Practice Address |
13908 90th Ave Jamaica NY 11435-4128 |
Practice Telephone | 3479759658 |
Enumeration Date | 2013-07-29 |
Last Update Date | 2013-07-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F306566-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
13908 90TH AVE |
City | JAMAICA |
State | NY |
Zip Code | 11435-4128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
Find all providers in zip 11435 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053929364 | Sophia Brown-buchanan | Nurse Practitioner | 17447 129th Ave, Jamaica, NY 11434-5831 | 2020-07-22 |
1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
1063040038 | Laura Alana Inabinett | Nurse Practitioner | 11432 128th St, Jamaica, NY 11420-2128 | 2020-03-27 |
1306330626 | Angela Aronova | Nurse Practitioner | 8011 169th St, Jamaica, NY 11432-1329 | 2018-06-20 |
1740644137 | Nermala Persaud | Nurse Practitioner | 14437 87th Rd, Jamaica, NY 11435-3123 | 2016-04-11 |
1598023582 | Hea Rim Kwon | Nurse Practitioner | 8248 135th St Apt 2h, Jamaica, NY 11435-1429 | 2012-04-26 |
1023114352 | Aliyamma Samuel | Nurse Practitioner | 82-68 164th St, Jamaica, NY 11432-1121 | 2006-09-15 |
1366444234 | Jacqueline Irene De Leon Dy | Nurse Practitioner | 8449 168th St, Unit 6a, Jamaica, NY 11432-2048 | 2005-08-11 |
1538639448 | Nermine Mounas | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2018-12-04 |
1023505955 | Immacula Samson | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2018-04-17 |
Find all providers in JAMAICA |
Please comment or provide details below to improve the information on SHAUNDEL SERITA CLARKE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.