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Diedrian Clarke

Registered Nurse β€’ Fishkill, NY

Active NPI 1053686873 Individual Practitioner Female Practitioner
Practice location in NPPES

1524 Max Way
Fishkill, NY 125243942

Call 9144397815 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1524 Max Way

Fishkill, NY 125243942

Telephone 9144397815

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fishkill and New York

20 active clinicians are listed under Registered Nurse with a practice address in Fishkill, NY (25,761 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fishkill

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES NY 649609-1

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ”„
NPI Profile Reactivated December 17, 2025

Record officially reactivated for active practice on December 17, 2025

πŸ“
Updated Practice Location December 17, 2025

Registered at 1524 MAX WAY, FISHKILL, NY 125243942 (Tel: 9144397815)

πŸ“
Updated Business Mailing Address December 17, 2025

Registered at 1524 MAX WAY, FISHKILL, NY 125243942

πŸ‘€
Provider Name / Credentials Updated December 17, 2025

Recorded as DIEDRIAN CLARKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2025

Registered Nurse (license number reported to NPPES: NY 649609-1)

⚠️
NPI Profile Deactivated July 30, 2013

NPPES lists this NPI as deactivated as of July 30, 2013; the reason is not published.

🟒
Initial NPI Registration & Enumeration March 12, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053686873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2012
Last Update: December 17, 2025
Sole Proprietor: Yes

Mailing Address

1524 Max Way

Fishkill, NY 125243942

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.