CONNIE LEA CLEMENT (NPI# 1780209627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780209627 |
| Entity Type | Individual |
| Full Name | CONNIE LEA CLEMENT |
| Credential | LCDC |
| Practice Address |
1501 S Coulter St Amarillo TX 79106-1770 |
| Mailing Address |
1101 S Jackson St Apt 24 Amarillo TX 79101-4164 |
| Practice Telephone | 8063541000 |
| Mailing Telephone | 8062066590 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12449 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1501 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442418 | Northwest Texas Healthcare System Inc | Clinic/Center | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2005-10-21 |
| 1104431576 | Gregory Allan Fenchel Jr. | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-09-12 |
| 1457962888 | Mercedes Ontiveros | Respiratory Therapist, Certified | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-08-10 |
| 1215552336 | Simon Salazar Camarillo IIi | Counselor | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-06-15 |
| 1063049245 | Joshua Michael Pritchet | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2020-03-26 |
| 1093367419 | Emily Marie Buatois | Pharmacist | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2019-07-15 |
| 1336622042 | Katharine Ruth Diaz | Physical Medicine & Rehabilitation | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2018-09-09 |
| 1619454394 | Shayne R Teichelman | Nurse Practitioner | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2018-07-25 |
| 1114435922 | Matthew Alan Manley | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2018-01-15 |
| 1023520194 | Brittany Alexis Morrison | Nurse Anesthetist, Certified Registered | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2017-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245760222 | Larry Dale Hisel | Counselor | 110 Wayside Dr, Amarillo, TX 79106-6425 | 2017-06-13 |
| 1982143905 | Linda Williams | Counselor | 1408 S Jefferson St, Ste 109, Amarillo, TX 79101-4048 | 2017-02-23 |
| 1841744414 | James Cameron | Counselor | 5125 Oregon Trl, Amarillo, TX 79109-6113 | 2016-08-11 |
| 1437503182 | My Next Step Pllc | Counselor | 6500 Canyon Dr, Amarillo, TX 79109-7030 | 2016-04-19 |
| 1972987741 | Lidia Lynette Dailey | Counselor | 2412 Sw 8th Ave, Amarillo, TX 79106-6612 | 2015-07-11 |
| 1437577608 | Maxine Westmoreland | Counselor | 2901 Se 11th Ave, Amarillo, TX 79104-2515 | 2014-04-03 |
| 1740575166 | Eric Wade Hammer | Counselor | 4515 Cornell St, Amarillo, TX 79109-5810 | 2011-06-14 |
| 1992883722 | Jana Denise Pounds | Counselor | 6910 W 45th Ave Ste 23, Amarillo, TX 79109-5078 | 2006-11-01 |
| 1730278821 | Jo Anne Cook | Counselor | 1800 S Washington St, Ste. 206, Amarillo, TX 79102-2610 | 2006-10-12 |
| 1851498778 | Norma Jo Backs | Counselor | #22 Care Circle, Amarillo, TX 79124 | 2006-09-20 |
| Find all providers in AMARILLO | ||||
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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.