KELLIE DALE CLAUSEN


Address: 111 S 5th St, Douglas, WY 82633-2434
Phone: 3073582122

KELLIE DALE CLAUSEN (NPI# 1487616553) 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) 1487616553
Entity Type Individual
Full Name KELLIE DALE CLAUSEN
Credential F.N.P.
Practice Address 111 S 5th St
Douglas
WY 82633-2434
Practice Telephone 3073582122
Practice Fax Number 3073587381
Mailing Telephone 3073582122
Mailing Fax Number 3073587381
Enumeration Date 2006-04-04
Last Update Date 2012-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
14471-0152 WY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY BLUECROSS AND BLUESHIELD 313807 01
WY 121710100 05

Office Location

Street Address 111 S 5TH ST
City DOUGLAS
State WY
Zip Code 82633-2434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689670267 Phillip O Tigert Physician Assistant 111 S 5th St, Douglas, WY 82633-2434 2005-06-28
1972110138 Melanie Hummert Physical Therapist 111 S 5th St, Douglas, WY 82633-2434 2020-09-30
1467070730 Jordon Jacklin Physical Therapist 111 S 5th St, Douglas, WY 82633-2434 2020-07-13
1225662216 Sara Marie Thronburg Nurse Practitioner 111 S 5th St, Douglas, WY 82633-2434 2020-02-27
1902447477 Amanda Kay Dykes Nurse Practitioner 111 S 5th St, Douglas, WY 82633 2019-10-04
1043867872 Aaron Bernal Physical Therapist 111 S 5th St, Douglas, WY 82633-2434 2019-08-26
1033765821 Hannah Williams Occupational Therapist 111 S 5th St, Douglas, WY 82633-2434 2019-08-16
1710457601 Michael Jeremey Littleton Emergency Medical Technician, Paramedic 111 S 5th St, Douglas, WY 82633-2434 2018-12-04
1275054751 Shelby Hoskinson Physical Therapist 111 S 5th St, Douglas, WY 82633-2434 2017-07-05
1811447956 Melissa Renee Bulkley Nurse Practitioner 111 S 5th St, Douglas, WY 82633-2434 2016-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710304399 A Keeler Family Dental, LLC Dentist 1010 E Richards Street, Douglas, WY 82633 2014-03-21
1578836805 Dawn Marie Marchak-cundy Counselor 1841 Madora Avenue, Douglas, WY 82633 2012-02-16
1982894739 Tanisha Crystal Dexter Pharmacist 1202 East Richards Street, Douglas, WY 82633 2007-07-27
1669521324 Stephan Paul Ediss Chiropractor 1330 E. Richards, Douglas, WY 82633 2007-01-10
1831280221 Shauna R Kohler Nurse Anesthetist, Certified Registered 111 S 5th Street, Douglas, WY 82633 2006-09-28
1255438651 County of Converse Public Health or Welfare 442 Center, Douglas, WY 82633 2006-09-20
1104834134 Mark W Townsend Dentist 820 So 10th, Douglas, WY 82633 2006-08-04
1548206642 Douglas Care Center, LLC Skilled Nursing Facility 1108 Birch, Douglas, WY 82633 2006-06-20
1023061223 North Platte Physical Therapy Services Inc Physical Therapist Crook Co Memorial Serv Dist, Sundance, WY 82633 2006-05-18
1235611468 Jessica Renee Snyder Social Worker 1841 Madora Ave, Douglas, WY 82633 2018-09-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013551829 Taylor Lamar Gibson Nurse Practitioner 200 Doctors Dr Ste O, Douglas, GA 31533-2202 2019-11-05
1952879918 Monica Nichole Roberts Nurse Practitioner 210 Peterson Ave S, Douglas, GA 31533-5237 2018-11-08
1770058539 Carlas Paulk Nurse Practitioner 28 Tempa Ln, Douglas, GA 31535-4561 2018-10-09
1053801860 Brandon Hall Nurse Practitioner 903 Ward St W Ste A, Douglas, GA 31533-3536 2018-05-16
1235508920 Michelle Martinez Jones Nurse Practitioner 200 Doctors Dr Ste S, Douglas, GA 31533-2203 2015-09-23
1447641048 Jennifer Spivey Nurse Practitioner 326 Shirley Avenue, Douglas, GA 31533 2015-02-18
1457758609 Angela Leah Overturf Nurse Practitioner 100 East 5th Street, Douglas, AZ 85607 2014-12-02
1063817872 Amanda Brulte Nurse Practitioner 100 Doctors Dr Ste 104, Douglas, GA 31533-2211 2014-10-23
1720481500 La. Donna Spikes Nurse Practitioner 208 Grady Ave S, Douglas, GA 31533-2312 2014-10-07
1972914497 Jessica Lynne Courson Nurse Practitioner 903 West Ward Street, Suite B, Douglas, GA 31533 2014-05-19
Find all providers in DOUGLAS

Competitor

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City DOUGLAS
Zip Code 82633

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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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