Jo Ann Clay, MSN, CNS, APN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

501093 CNS Issued in AR

Practice address

680 Hogan LN
Conway, AR 72034-8131

Phone

(501) 505-8900

Fax

(501) 505-8901

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Jo Ann Collie Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Psychiatric Clinic Clinical Research Trials, PA

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1548661200
  Medicare reassignment NPD
• Jackie Coombe-Moore PA

  • Psychiatry Physician
  • Conway, AR
  • NPI 1841513223
  NPD (past)
• Lead, Teach, Mentor LLC

  • Community/Behavioral Health Agency
  • Conway, AR
  • NPI 1497167548
  NPD (past)
• Thriveworks Telepsychiatry - Arkansas

  • Mental Health Counselor
  • Fayetteville, AR
  • NPI 1669130928
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1003843277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HOGAN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348131",
            "telephone_number": "501-505-8900",
            "fax_number": "501-505-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HOGAN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348131",
            "telephone_number": "501-505-8900",
            "fax_number": "501-505-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "JO ANN",
        "name_prefix": "Miss",
        "credential": "MSN, CNS, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "LA",
            "license": "RN 05 3165",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "B48862",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "AR",
            "license": "501093 CNS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "787856000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "255804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "281471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO ANN",
            "last_name": "COLLIE",
            "credential": "MSN, CNS, APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celeste A Clarke, DC
• Chantillee A Clary
• Daxton Clatworthy
• Jody Shawn Clawson, A.P.N.
• Angela Shree Clay, NURSE PRACTITIONER
• Rebecca Clay
• Lakesia Lynnett Clemons
• Hannah J Cleveland
• Ashley G Clingan
• Brianna Shree Clinkscale, LPN

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Conway, AR
• Providers in Conway, AR by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.