Martha Elizabeth McClellan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

23-25861-071 Issued in KS

Practice address

1823 College Ave
Manhattan, KS 66502-3381

Phone

(785) 776-3322

Fax

(785) 776-2803

NPI assigned

Jul 5, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1003487752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 TUTTLE CREEK BLVD LOT 21",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027121",
            "telephone_number": "785-806-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-776-3322",
            "fax_number": "785-776-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "MARTHA",
        "middle_name": "ELIZABETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KS",
            "license": "23-25861-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Dianne McBee
• Adam McCaffrey, LSCSW, LMAC
• Kelli McCallum, P.T. ASSISTANT
• Sara McCarn, P.T. ASSISTANT
• Samantha McCarty, PA-C
• Deanna Rae McCloud, MS
• Rachel McClurg, RDN,LD
• Constance McConnell
• Alyssa McCormack
• Mikki Lynn McCoy-Minocha, MD

• All providers in Manhattan, KS
• Licensed Practical Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.