Active NPI
Donald E. Clayton, CRNP-F
- Family Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1023091485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R155741
- Practice address
- 1665 Woodbrooke Dr
Salisbury, MD 21804-8502 - Phone
- (410) 546-6650
- Fax
- (410) 546-2656
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R155741 | MD | Primary |
Addresses
Primary practice location
1665 Woodbrooke Dr
Salisbury, MD 21804-8502
Mailing address
PO Box 1978
Salisbury, MD 21802-1978
Phone (410) 749-1015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119591300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170405000272 | MD | Order and Referring Only - Nurse Practitioner | 8022023688 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R155741 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1023091485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1978",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218021978",
"telephone_number": "410-749-1015",
"fax_number": "410-749-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 WOODBROOKE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218048502",
"telephone_number": "410-546-6650",
"fax_number": "410-546-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "DONALD",
"middle_name": "E.",
"credential": "CRNP-F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R155741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
- City of Salisbury
- Civic Health Services LLC (Mt Hermon Discount Pharmacy)
- Rachel Zipporah Clark, CRNP
- Amanda Clarke, CRNP
- Nattile Clarke, FNP-BC
- Jerry James Clayville, CRNP
- Clearway Anesthesia Services NE LLC
- Clearway Surgery Center of Salisbury LLC
- William W. Clendenen, D.O.
- Christopher M Clifford, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.