Healthcare Provider Details

I. General information

NPI: 1447169875
Provider Name (Legal Business Name): CLEARINGRX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4572A FOND DU LAC AVE WEST
MILWAUKEE WI
53216
US

IV. Provider business mailing address

6969 N PORT WASHINGTON RD STE 150B
GLENDALE WI
53217-3949
US

V. Phone/Fax

Practice location:
  • Phone: 414-882-3162
  • Fax:
Mailing address:
  • Phone: 414-882-3162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: SERITA PATRICE SINGH
Title or Position: CEO
Credential:
Phone: 414-882-3162