MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) – Obstetrics & Gynecology Nurse Practitioner, NPI 1114200094

Obstetrics & Gynecology Nurse Practitioner

MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) is a healthcare provider. based in Whittier, California. specializing in Obstetrics & Gynecology Nurse Practitioner. They hold the professional credentials CNM, MSN, RN. They hold a License No. AP60655666 (WA). The NPI Number for MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) is 1114200094

Main info

Female

15 Years Of Experience

Accepts Medicare Assignment

Name

MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN)

NPI

1114200094

Phone

(203) 974-3173

Address

12462 Putnam St Ste 303

Enumeration Date

27 September 2011

Last Update Date

1 July 2020

Doctor Profile

Medical School Name

YALE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

5095743863

Graduation Year

2011 (15 years ago)

PAC ID

0648430421

Group Practice PAC ID

1557391596

Professional Enrollment ID

I20180201001738

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience57

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN)

12462 Putnam St Ste 303
Whittier, CA 906021049
Phone: (203) 974-3173
Type: Location
1515 W Yakima Ave
Yakima, WA 989022950
Phone: (509) 574-3803
Type: Location
2205 W CHESTNUT AVE
YAKIMA, WA 989023744
Phone: (714) 615-9509
Type: Mailing
12 S 8TH ST
YAKIMA, WA 989013020
Phone: (509) 454-4143
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1557391596View full group profile

Name	Specialty	State
DR. SCOTT W CHAPMAN (M.D.)	Emergency Medicine	WA
DR. HOI-WING SUSANNA YIM (M.D.)	Internal Medicine	NJ
PAUL E NOVAK (CRNA)	Certified Registered Nurse Anesthetist (Crna)	WA
KEVIN A LEACH (CRNA)	Certified Registered Nurse Anesthetist (Crna)	WA
MRS. ANNELIESE J CORCORAN (PHD)	-	WA
CHARLES G WANG (MD)	Internal Medicine	WA
NICHOLAS REITER (MD)	Emergency Medicine	WA
DR. JOHN BARLOW TANNER (MD)	-	WA
JESS W BOUMA (MD)	Family Practice	WA
DR. SIVA KRISHNA MANNEM (MD)	H E M A T O L O G Y/ O N C O L O G Y	WI

Reviews

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Frequently asked questions

What identifier follows MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) across health systems?

The NPI 1114200094 uniquely identifies MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) in U.S. healthcare data.

Should I treat MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) as an active provider?

Patients and plans typically see MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) as active in the national extract.

What does the directory say MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) does?

Insurance directories may phrase it differently, but here MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) maps to Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What geographic area is tied to MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN)?

MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN) is associated with Whittier, California in the same public data insurers reference.

Who maintains MRS. CAROLYNN KATHLEEN CLARKE (CNM, MSN, RN)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.