DENECE CLAYBORNE


Address: 301 Andrews Ave., Fort Rucker, AL 36362-2334
Phone: 3342559915

DENECE CLAYBORNE (NPI# 1639492358) 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) 1639492358
Entity Type Individual
Full Name DENECE CLAYBORNE
Practice Address 301 Andrews Ave.
Fort Rucker
AL 36362-2334
Practice Telephone 3342559915
Mailing Telephone 3342559915
Enumeration Date 2010-03-09
Last Update Date 2011-02-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
1-128885 AL Nursing Service Providers
N 163WC1500X Registered Nurse
Specialization: Community Health
0001165547 VA Nursing Service Providers

Office Location

Street Address 301 ANDREWS AVE.
City FORT RUCKER
State AL
Zip Code 36362-2334

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891784013 Steven John Gaydos Emergency Medicine 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2005-10-20
1750840377 Sunyoung Oh Kim General Practice 301 Andrews Ave., Fort Rucker, AL 36362 2019-03-13
1194245530 Jeremy Erin Omealey Emergency Medical Technician, Basic 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-06-27
1104201656 Ashley Barnes Licensed Practical Nurse 301 Andrews Ave., Lyster Army Health Clinic Building, Fort Rucker, AL 36362-5333 2015-07-27
1023390580 Donna Tacey Specialist/Technologist 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2011-09-12
1295020352 Matthew Nicholas Mascitelli Psychologist 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2011-06-16
1649576547 Alisha Harvey Physical Therapist 301 Andrews Ave., Fort Rucker, AL 36362-5350 2011-02-10
1306162813 Gregory Dwight Gilliam Emergency Medical Technician, Paramedic 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362 2010-04-09
1437483633 Janet P Andrews Audiologist 301 Andrews Ave., Fort Rucker, AL 36362 2009-09-22
1366673402 Christian Yoonjin Kim Counselor 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2009-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235745571 Rachel Kestler Specialist 4102 Gadiator Street, Fort Rucker, AL 36362 2020-09-22
1417589268 Jacob Michael Lezon Emergency Medical Technician, Basic 30501 Nevins St., Ft. Rucker, AL 36362 2020-02-10
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1770013369 National Vision, Inc. Technician/Technologist Bldg 9214, Fort Rucker, AL 36362 2017-06-15
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1568826246 David Virgil II Technician, Other 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 2016-04-08
1356771257 Robert E Smith Emergency Medical Technician, Intermediate Blding 301 Andrew Ave, Ft Rucker, AL 36362 2013-11-14
1548503469 Lindsey Taylor Mendenhall Emergency Medical Technician, Basic Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 2013-03-28
1689913808 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Fort Rucker Bldg. 9214, Daleville, AL 36362 2013-02-07
1275880205 Sandra Lynn Griffin Banner Optometrist 33 Endl Ave, Fort Rucker, AL 36362 2012-08-09
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447802392 Ginger Lynn Tanner Registered Nurse Lyster Army Health Clinic, Building 301 Andrews Avenue, Fort Rucker, AL 36362-5333 2019-07-11
1871158444 Dorma Sanders Registered Nurse Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2019-05-08
1942769047 Emily Sue Canlas Registered Nurse Lyster Army Health Clinic, Bldg. 301 Andrews Ave., Fort Rucker, AL 36362-5333 2019-03-18
1184138497 Mildred Castillo Registered Nurse Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2017-11-22
1366831935 Amanda Goodson Registered Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2015-01-20
1538561204 Pamela Francis Registered Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2014-09-24
1417265141 Carle B Brunochelli Registered Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2010-09-15
1376873018 Belinda Downing Registered Nurse Building 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2009-12-31
1164671376 Donna Upshaw-combs Registered Nurse 301 Andrew Ave, Lyster Army Health Clinic, Fort Rucker, AL 36360-5001 2008-09-11
1215105754 Victoria Ann Knighton Registered Nurse Bldg 301, Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2008-02-19
Find all providers in FORT RUCKER

Competitor

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City FORT RUCKER
Zip Code 36362

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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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