MRS. DENISE M. CLEGG (NPI# 1801173505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801173505 |
| Entity Type | Individual |
| Full Name | MRS. DENISE M. CLEGG |
| Credential | FNP-BC |
| Practice Address |
3860 Teays Valley Rd Ste 4 Hurricane WV 25526-9772 |
| Practice Telephone | 3047572770 |
| Practice Fax Number | 3047572773 |
| Mailing Telephone | 3047572770 |
| Mailing Fax Number | 3047572773 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | APRN70489 | WV | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN70489 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
70489 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3860 TEAYS VALLEY RD STE 4 |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104778 | Associates In Primary Care LLC | Family Medicine | 3860 Teays Valley Rd Ste 4, Hurricane, WV 25526-9772 | 2019-06-26 |
| 1013307602 | John M Clark Md | Clinic/Center | 3860 Teays Valley Rd Ste 4, Hurricane, WV 25526-9772 | 2015-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932446952 | Mekael Jones | Nurse Practitioner | 2482 S Dorothy St, Hurricane, UT 84737-7738 | 2013-01-10 |
| 1376739102 | Amanda Melanie Jocelyn | Nurse Practitioner | 1155 S 840 W, Hurricane, UT 84737-2422 | 2007-09-14 |
| 1578115044 | Raschelle Davis Shoultes | Nurse Practitioner | 75 N 2260 W, Hurricane, UT 84737 | 2019-07-15 |
| 1275199275 | Robin D. White | Nurse Practitioner | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2019-05-15 |
| 1164086971 | Jenny Lee Irvin | Nurse Practitioner | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2019-04-26 |
| 1902376601 | Megan Mcclain | Nurse Practitioner | 3109 Teays Valley Rd, Hurricane, WV 25526-1318 | 2018-11-26 |
| 1114403474 | Red Rock Mobile Healthcare | Nurse Practitioner | 86 W 975 N, Hurricane, UT 84737-1735 | 2018-07-18 |
| 1427578517 | Sarah D. Mcclanahan | Nurse Practitioner | 1400 Hospital Dr, Hurricane, WV 25526 | 2017-06-21 |
| 1619405834 | Jennifer Louise Hawk | Nurse Practitioner | 3752 Teays Valley Rd, Hurricane, WV 25526-9705 | 2017-06-01 |
| 1649705104 | Susan E. Farley | Nurse Practitioner | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2017-04-21 |
| Find all providers in HURRICANE | ||||
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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.