Gretchen B. Cliburn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA385 Issued in KY

Practice address

4071 Tates Creek Centre Dr Ste 202
Lexington, KY 40517-3094

Phone

(859) 226-0206

NPI assigned

Jun 20, 2005

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

Enrolled in KY

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

Physician Assistant

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.

• Lexington Dermatology & Laser Center PSC

  • Dermatology Physician
  • Lexington, KY
  • NPI 1932486651

  Physician Assistant

  NPD

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1043215536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR STE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173094",
            "telephone_number": "859-226-0206",
            "fax_number": "859-226-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR STE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173094",
            "telephone_number": "859-226-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIBURN",
        "first_name": "GRETCHEN",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Cleveland, PT, DPT
• Brayden Clevenger
• Leanne Clevenger, MD
• Nicole Clevinger, APRN
• Diana Clewett
• Matthew J Cliburn, DMD
• Click Health Group, Inc.
• Allison Mays Click, M.D.
• Lindsey H Clickner, APRN
• Carrie L Clifford-Bennett, APRN, ANP-C, MSN, SA

• Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.