Individual provider Active NPI

Mary Leann Clowers, LVN

  • Licensed Vocational Nurse
  • Hawkins, TX
National Provider Identifier
1043714983
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
341341 Issued in TX
Practice address
109 Red Leaf LN
Hawkins, TX 75765-4504
Phone
(903) 497-9976
NPI assigned
Mar 23, 2018
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 341341 TX Primary

Addresses

Primary practice location

109 Red Leaf LN
Hawkins, TX 75765-4504

Mailing address

109 Red Leaf LN
Hawkins, TX 75765-4504
Phone (903) 497-9976

Other names 1

  • Mary Leann Reid Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
341341TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1043714983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RED LEAF LN",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "757654504",
            "telephone_number": "903-497-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RED LEAF LN",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "757654504",
            "telephone_number": "903-497-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWERS",
        "first_name": "MARY",
        "middle_name": "LEANN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "341341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "REID",
            "middle_name": "LEANN",
            "credential": "LVN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hawkins, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.