M L CLEMSON CORPORATION (NPI# 1033127188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033127188 |
| Entity Type | Organization |
| Organization Name | M L CLEMSON CORPORATION |
| Practice Address |
602 Massachusetts Ave Norfolk VA 23508-2118 |
| Practice Telephone | 7576226673 |
| Practice Fax Number | 7576221086 |
| Mailing Telephone | 7576226673 |
| Mailing Fax Number | 7576221086 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | MRS. MARY LOUISE CLEMSON (PRESIDENT) |
| Authorized Official Telephone | 7576226673 |
| Authorized Official Credential | PSY CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
0015000529 | VA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM GROUP | 101867 | 01 |
| VA | INDIVIDUAL NPI | 1750563086 | 01 |
| VA | MEDICARE | C08982 | 01 |
| VA | ANTHEM | 101868 | 01 |
| VA | RAILROAD | P00071810 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | M L CLEMSON CORPORATION | 602 Massachusetts Ave, Norfolk, Virginia 23508 |
| Street Address |
602 MASSACHUSETTS AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23508-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750563086 | Mar Y Louise Clemson | Registered Nurse | 602 Massachusetts Ave, Norfolk, VA 23508-2118 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1689173353 | Paraclete Therapeutic Solutions LLC | Community/Behavioral Health | 5215 Colley Ave Ste 107, Norfolk, VA 23508 | 2018-02-07 |
| 1104369305 | Melissa Joy Day | Physical Therapist | 1015 W 47th St., Norfolk, VA 23508 | 2016-11-21 |
| 1629323787 | Tara Dodson Olsson | Physical Therapist | 1015 West 47th Street, Norfolk, VA 23508 | 2012-07-16 |
| 1760776181 | Amelia Cady Dumond Dail | Behavioral Analyst | 810 52nd St, Norfolk, VA 23508 | 2011-06-02 |
| 1568789824 | Alternative Therapeutic Home Care Inc | Health Maintenance Organization | 427 W 37th Street, Norfolk, VA 23508 | 2010-04-27 |
| 1730402421 | Benjamin Simon Mccarty | Dentist | 1170 Lexan Ave Ste 187, Norfolk, VA 23508 | 2010-03-09 |
| 1174754063 | Dominion Medical Supplies | Durable Medical Equipment & Medical Supplies | 4110 Granby St, Norfolk, VA 23508 | 2009-07-27 |
| 1992767297 | Catherine Jean Mcdonald | Nurse Practitioner | 1618 Pocahontas Drive, Medical Readiness Division, Comnavsurflant, Norfolk, VA 23508 | 2006-04-04 |
| 1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
| Find all providers in zip 23508 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841445665 | Eric Jerome Pauli | Registered Nurse | 1683 Gilbert St Ste 100, Norfolk, VA 23511-2731 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764309 | Kimberly Bailey Dexter | Registered Nurse | 5647 Liberty Manor Circle, Woodbridge, VA 22193-2219 | 2020-03-09 |
| 1710521299 | Bozena Krystyna Harper | Registered Nurse | 2339 Barbour Rd, Falls Church, VA 22043-3027 | 2019-10-29 |
| 1740751163 | Darlene W. Johnson | Registered Nurse | 5000 Marta Ln, Chesapeake, VA 23321-1594 | 2018-12-11 |
| 1588182315 | Amy Chappell Parke | Registered Nurse | 20 W Bank St Ste 3, Petersburg, VA 23803-3279 | 2017-08-31 |
| 1295132421 | Cathy D Ramey | Registered Nurse | 307 Grand Ave Ne, Coeburn, VA 24230-4052 | 2014-12-03 |
| 1205232097 | Danielle Mareene Lafollette | Registered Nurse | 494 N Main St Ste 300, Woodstock, VA 22664-1703 | 2014-11-06 |
| 1922348713 | Mary Ball Brown | Registered Nurse | 1761 Old Meadow Rd, Mc Lean, VA 22102-4315 | 2013-02-15 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1427386127 | Karen Nelson Davis | Registered Nurse | 9149 Chatham Grove Ln, Richmond, VA 23236-1163 | 2009-11-18 |
| 1497935761 | Corinne Dolores Gibson | Registered Nurse | 175 Military Ln, Gate City, VA 24251-2874 | 2007-11-05 |
| Find all providers with the same taxonomy | ||||
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| 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.