CARLA CLINTON (NPI# 1790279693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790279693 |
| Entity Type | Individual |
| Full Name | CARLA CLINTON |
| Credential | FNP-C |
| Practice Address |
1602a N Main St Mountain Grove MO 65711-1010 |
| Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
| Practice Telephone | 4172692350 |
| Practice Fax Number | 4179265626 |
| Mailing Telephone | 4172695712 |
| Mailing Fax Number | 4172697567 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018020389 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1182 County Road 1590, Willow Springs, MO 657933342 | 4172602600 |
| Street Address |
1602A N MAIN ST |
| City | MOUNTAIN GROVE |
| State | MO |
| Zip Code | 65711-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871539023 | Lester E Cox Medical Centers | Family Medicine | 1602a N Main St, Mountain Grove, MO 65711-1010 | 2006-06-22 |
| 1164895363 | Jenna Cravens | Nurse Practitioner | 1602a N Main St, Mountain Grove, MO 65711 | 2015-11-10 |
| 1598778193 | Lori G Macpherson | Family Medicine | 1602a N Main St, Mountain Grove, MO 65711-1010 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1376679423 | Ozarks Medical Center | Clinic/Center | 500 East 19th Street, Suite A, Mountain Grove, MO 65711 | 2007-02-25 |
| 1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
| 1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| Find all providers in zip 65711 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1972012854 | Adam Cole Mattison | Nurse Practitioner | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2017-09-24 |
| 1164895363 | Jenna Cravens | Nurse Practitioner | 1602a N Main St, Mountain Grove, MO 65711 | 2015-11-10 |
| 1467822650 | Sara Openshaw | Nurse Practitioner | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2015-09-30 |
| 1881000198 | Sheena Kay White | Nurse Practitioner | 601 N Busch Ave, Mountain Grove, MO 65711-1415 | 2014-07-08 |
| 1699100255 | Paul E. Burris | Nurse Practitioner | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2013-09-13 |
| 1093086761 | Christy Lin Bramwell | Nurse Practitioner | 205 W 3rd St Ste 3, Mountain Grove, MO 65711-1600 | 2012-01-26 |
| 1659677466 | Alisha K. Jones | Nurse Practitioner | 120 W 16th St, Mountain Grove, MO 65711-1039 | 2011-01-27 |
| 1871766535 | Teresa Mealy | Nurse Practitioner | 205 W 3rd St, Suite 3, Mountain Grove, MO 65711-1649 | 2008-04-02 |
| Find all providers in MOUNTAIN GROVE | ||||
| City | MOUNTAIN GROVE |
| Zip Code | 65711 |
Please comment or provide details below to improve the information on CARLA CLINTON.
| 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.