MAR Y LOUISE CLEMSON (NPI# 1750563086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750563086 |
| Entity Type | Individual |
| Full Name | MAR Y LOUISE CLEMSON |
| Credential | RNCS |
| Practice Address |
602 Massachusetts Ave Norfolk VA 23508-2118 |
| Practice Telephone | 7576226673 |
| Practice Fax Number | 7576226673 |
| Mailing Telephone | 7576226673 |
| Mailing Fax Number | 7576226673 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1193801 | VA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE | C08982 | 01 |
| VA | RAILROAD | P00071810 | 01 |
| VA | ANTHEM INDIVIDUAL | 101868 | 01 |
| VA | ANTHEM GROUP | 101867 | 01 |
| Street Address |
602 MASSACHUSETTS AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23508-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033127188 | M L Clemson Corporation | Registered Nurse | 602 Massachusetts Ave, Norfolk, VA 23508-2118 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1689173353 | Paraclete Therapeutic Solutions LLC | Community/Behavioral Health | 5215 Colley Ave Ste 107, Norfolk, VA 23508 | 2018-02-07 |
| 1104369305 | Melissa Joy Day | Physical Therapist | 1015 W 47th St., Norfolk, VA 23508 | 2016-11-21 |
| 1629323787 | Tara Dodson Olsson | Physical Therapist | 1015 West 47th Street, Norfolk, VA 23508 | 2012-07-16 |
| 1760776181 | Amelia Cady Dumond Dail | Behavioral Analyst | 810 52nd St, Norfolk, VA 23508 | 2011-06-02 |
| 1568789824 | Alternative Therapeutic Home Care Inc | Health Maintenance Organization | 427 W 37th Street, Norfolk, VA 23508 | 2010-04-27 |
| 1730402421 | Benjamin Simon Mccarty | Dentist | 1170 Lexan Ave Ste 187, Norfolk, VA 23508 | 2010-03-09 |
| 1174754063 | Dominion Medical Supplies | Durable Medical Equipment & Medical Supplies | 4110 Granby St, Norfolk, VA 23508 | 2009-07-27 |
| 1992767297 | Catherine Jean Mcdonald | Nurse Practitioner | 1618 Pocahontas Drive, Medical Readiness Division, Comnavsurflant, Norfolk, VA 23508 | 2006-04-04 |
| 1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
| Find all providers in zip 23508 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316318421 | Bobbi Ottis | Registered Nurse | 1104 Wilson Ave, Norfolk, NE 68701-2741 | 2015-10-14 |
| 1831308964 | Lee Summer Phillips | Registered Nurse | 3431 Norway Pl, Norfolk, VA 23509-1299 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902431257 | Francisco Morin | Registered Nurse | 7702 Martin Allen Ct, Alexandria, VA 22315-6056 | 2020-03-06 |
| 1275176083 | Damaris Gomez | Registered Nurse | 8221 Willow Oaks Corporate Dr # 1-417, Fairfax, VA 22031-4512 | 2019-10-24 |
| 1851868434 | Natasha Swanson | Registered Nurse | 7869 Etching St, North Chesterfield, VA 23237-1984 | 2018-10-31 |
| 1750861282 | Nicole Walters | Registered Nurse | 4555 Natures Waye Rd, Blacksburg, VA 24060-0567 | 2018-08-15 |
| 1437648581 | Dolly Oghogho Obanor | Registered Nurse | 7336 Mangrum Dr, Moseley, VA 23120-1684 | 2018-05-03 |
| 1801347240 | Sharon Denise Reaves | Registered Nurse | 437 Beauregard Ave, Petersburg, VA 23805-2017 | 2016-10-20 |
| 1902281843 | Unity Outreach Ministries of America, LLC | Registered Nurse | 1122 London Blvd, Portsmouth, VA 23704-2246 | 2015-07-21 |
| 1225305667 | Leah Geeston-enum | Registered Nurse | 240 S Reynolds St Apt 208, Alexandria, VA 22304 | 2011-11-30 |
| 1023243367 | Melonese Mccallister | Registered Nurse | 3604 Tyre Neck Rd, Portsmouth, VA 23703-3158 | 2009-05-15 |
| 1891904900 | Ade, Inc | Registered Nurse | 23077 Charmay Pond Pl, Ashburn, VA 20148-7241 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
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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.