MRS. KIM SPROUSE CLEMENTS (NPI# 1548255599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548255599 |
| Entity Type | Individual |
| Full Name | MRS. KIM SPROUSE CLEMENTS |
| Other Name | KIM A. SPROUSE |
| Credential | APRN, CNP |
| Practice Address |
13321 N Meridian Ave H-md Medspa Oklahoma City OK 73120-8356 |
| Practice Telephone | 4054635700 |
| Practice Fax Number | 4054635705 |
| Mailing Telephone | 4054635700 |
| Mailing Fax Number | 4054635705 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R0030796 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE LICENSE | 30796 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942275193 | Kim C. Clements | Family Medicine | 12101 S Chalkley Rd, Chester, VA 23831-3755 | 2006-02-21 |
| Street Address |
13321 N MERIDIAN AVE H-MD MEDSPA |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689307 | Michael Kenneth Crawford | Internal Medicine | 13321 N Meridian Ave, Ste 210, Oklahoma City, OK 73120-8356 | 2005-06-20 |
| 1710214267 | Affiliated Anesthesiologists, LLC | Anesthesiology | 13321 N Meridian Ave, Suite 402, Oklahoma City, OK 73120-8356 | 2009-11-04 |
| 1396970976 | Ingrid W Jackson Md Inc. P.C. | Family Medicine | 13321 N Meridian Ave, Ste 314, Oklahoma City, OK 73120-8356 | 2009-05-26 |
| 1700020468 | Steven David Cromwell | Anesthesiology | 13321 N Meridian Ave, Ste 402, Oklahoma City, OK 73120-8356 | 2009-04-25 |
| 1215120308 | James A Totoro Md Pllc | Specialist | 13321 N Meridian Ave, Suite 400, Oklahoma City, OK 73120-8356 | 2007-08-22 |
| 1891815841 | Lawrence V Deck, M.d., PC | Internal Medicine | 13321 N Meridian Ave, Ste 212, Oklahoma City, OK 73120-8356 | 2007-03-30 |
| 1831241587 | Carl L. Sylvester | Specialist | 13321 N Meridian Ave, Suite 110, Oklahoma City, OK 73120-8356 | 2007-01-16 |
| 1023184231 | Garlanda Lea Parker | Pediatrics | 13321 N Meridian Ave, Suite 200, Oklahoma City, OK 73120-8356 | 2006-11-28 |
| 1396750139 | Samuel Curtis Oliphant Jr. | Optometrist | 13321 N Meridian Ave, Suite 110, Oklahoma City, OK 73120 | 2006-07-30 |
| 1467495911 | Lawrence Vivian Deck IIi | Specialist | 13321 N Meridian Ave, Ste 400a, Oklahoma City, OK 73120-8356 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1508328998 | Jennifer Alison Phillips | Nurse Practitioner | 6101 Ne 107th St, Oklahoma City, OK 73151-9560 | 2019-04-03 |
| 1952875981 | Brieana Kay Dawson | Nurse Practitioner | 8501 Sw 48th St, Oklahoma City, OK 73179-4622 | 2019-01-12 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1922593771 | Terry Murdock | Nurse Practitioner | 6305 N Villa Ave Apt 13, Oklahoma City, OK 73112-7133 | 2018-06-25 |
| 1487157772 | Misti Jayne Moon-harris | Nurse Practitioner | 8125 S Walker Ave Ste A, Oklahoma City, OK 73139-9417 | 2018-03-13 |
| 1114426053 | Jennifer Lauren Lee | Nurse Practitioner | 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 | 2018-02-06 |
| 1295241891 | Rachel Sims | Nurse Practitioner | 8408 Nw 143rd Ter, Oklahoma City, OK 73142-7002 | 2017-12-18 |
| 1417475997 | Tola Janet Suleiman | Nurse Practitioner | 13024 Almond Dr, Oklahoma City, OK 73170-1152 | 2017-09-05 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.