LASHAY C CLEMONS


Address: 858 Bluewater Way, Port Hueneme, CA 93041-3553
Phone: 6159678375

LASHAY C CLEMONS (NPI# 1043721251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043721251
Entity Type Individual
Full Name LASHAY C CLEMONS
Credential REGISTERED NURSE
Practice Address 858 Bluewater Way
Port Hueneme
CA 93041-3553
Practice Telephone 6159678375
Mailing Telephone 6159678375
Enumeration Date 2017-10-14
Last Update Date 2017-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
95114943 CA Nursing Service Providers
N 163WH0200X Registered Nurse
Specialization: Home Health
95114943 CA Nursing Service Providers
N 163WM0705X Registered Nurse
Specialization: Medical-Surgical
95114943 CA Nursing Service Providers

Office Location

Street Address 858 BLUEWATER WAY
City PORT HUENEME
State CA
Zip Code 93041-3553

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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City PORT HUENEME
Zip Code 93041

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Dataset Information

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.

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