JANELISE S CLARKE NP NPI 1275602633

NPI Information

  • NPI: 1275602633
  • Provider Name: JANELISE S CLARKE, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14355 MIRANDA WAY
    LOS ALTOS HILLS, CA
    ZIP 94022
  • Phone: (650) 546-7775

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NPI Details

Janelise S Clarke, NP is a pediatrics nurse practitioner in Los Altos Hills, CA. Janelise S Clarke, NP NPI is 1275602633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14355 MIRANDA WAY
LOS ALTOS HILLS, CA
ZIP 94022-032
Phone: (650) 546-7775

The NPI 1275602633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 5/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNP661AIDAHONo
2363LP0200XNurse PractitionerPediatricsNUR-APRN-LIC-125338MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010160650OTHERIDAHOREGENCE
2806937600MEDICAIDIDAHO
3300936OTHERIDAHOALTIUS HEALTH PLANS
4P00393459OTHERIDAHORAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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