Stephanie Lynne Clinton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP038653 Issued in AZ

Practice address

3724 N Lynx Lake Dr
Prescott Valley, AZ 86314-2465

Phone

(928) 925-5742

NPI assigned

Jun 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043412703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 N LYNX LAKE DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142465",
            "telephone_number": "928-925-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 N LYNX LAKE DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142465",
            "telephone_number": "928-925-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "STEPHANIE",
        "middle_name": "LYNNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP038653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CK Health LLC
• Louise Clara, NP-C
• Clarisa I. Smith, MD PLLC (Yavapai Pediatrics)
• Derek Clark, PHARMD
• Joey Allen Clayton, PA-C
• Patricia Jane Coates, APRN
• Judy Kaye Cobos, NP
• Kevin Cochran
• Barry Coe, M.D.
• Mark Jerome Collins, DO

• Licensed Practical Nurse in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.