Renea Kathleen Clowdsley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9247184 Issued in FL

Practice address

1101 Gulf Breeze Pkwy Ste 14
Gulf Breeze, FL 32561-4892

Phone

(850) 990-9100

Fax

(850) 396-0142

NPI assigned

Apr 18, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renea.clowdsley@498077832708100.direct.elationemr.com

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.

• A Trusted Nurse Practitioner

  • Family Nurse Practitioner
  • Gulf Breeze, FL
  • NPI 1295368645
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Baptist Health Care, Inc.

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1013351295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OCEAN VIEW DR",
            "city": "PENSACOLA BEACH",
            "state": "FL",
            "postal_code": "325612436",
            "telephone_number": "850-384-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GULF BREEZE PKWY STE 14",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614892",
            "telephone_number": "850-990-9100",
            "fax_number": "850-396-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWDSLEY",
        "first_name": "RENEA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2023-04-26",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9247184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Neurology Center of NW FL PA
• CHP Gulf Breeze FL Tenant Corp
• Karlee Clark, APRN
• Meredith Clark, ATC
• Ronald Harris Clayton
• Club2,LLC
• Coastal Kids Endocrinology and Weight Management LLC
• Coastal Medical Integration Inc
• Coastal Pain Management PLLC
• Coastal Wound Care Specialist LLC

• Family Nurse Practitioner in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.