DEVIN CLEM (NPI# 1205389210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205389210 |
| Entity Type | Individual |
| Full Name | DEVIN CLEM |
| Credential | CNP |
| Practice Address |
401 San Mateo Blvd Se Albuquerque NM 87108-2921 |
| Mailing Address |
Po Box 26666 Albuquerque NM 87125-6666 |
| Practice Telephone | 5054627333 |
| Mailing Telephone | 5059236770 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | CNP-02986 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-02986 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 SAN MATEO BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425260 | Mikal Ann Smoker | Physician Assistant | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2005-05-23 |
| 1184196446 | Dawn Annmarie Vigil | Nurse Practitioner | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2018-12-27 |
| 1548713472 | Ashley A Button | Nurse Practitioner | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2016-07-27 |
| 1437508041 | Rabaiya Fatima Ali | Family Medicine | 401 San Mateo Blvd Se, Albuquerque, NM 87108 | 2016-06-06 |
| 1508237371 | Dana Brown | Physician Assistant | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2015-10-19 |
| 1316334246 | David John Fitzgerald | Pediatrics | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2015-04-17 |
| 1447662291 | Joyce Wesselink | Registered Nurse | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2014-05-28 |
| 1063844637 | Prebyterian Healthcare Services | General Acute Care Hospital | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2013-08-06 |
| 1003181470 | Alberto Aguayo Rico | Internal Medicine | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2012-03-18 |
| 1790067080 | Patricia Metz | Midwife | 401 San Mateo Blvd Se, Pmg San Mateo, Albuquerque, NM 87108 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| 1467065532 | Amberleigh Morrish | Nurse Practitioner | 2100 George Rd Se # 19012, Albuquerque, NM 87106-5608 | 2020-08-28 |
| 1457962102 | Roxanne Christian | Nurse Practitioner | 1909 Brookhaven Pl Nw, Albuquerque, NM 87120-8006 | 2020-08-14 |
| 1689298879 | Marissa Jenee Simpson | Nurse Practitioner | 4839 Stafford Pl Nw, Albuquerque, NM 87120-3232 | 2020-06-03 |
| 1306465810 | Alice Xiao Arellano | Nurse Practitioner | 13512 Red Yucca Ave Ne, Albuquerque, NM 87111-8226 | 2020-04-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on DEVIN CLEM.
| 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.