Cecilia V Claxton

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

120396 Issued in FL

Practice address

2638 Westside Ave SE
Palm Bay, FL 32909-7678

Phone

(321) 953-2590

Fax

(321) 674-1566

NPI assigned

Jul 19, 2021

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1043883077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100888",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329100888",
            "telephone_number": "321-987-1524",
            "fax_number": "321-674-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 WESTSIDE AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329097678",
            "telephone_number": "321-953-2590",
            "fax_number": "321-674-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAXTON",
        "first_name": "CECILIA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "120396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara'S Angels
• Darius Clark
• Nanette Sebrena Clark
• Rachel Leah Clark, FNP-C
• Sandra Clarke
• Brenda K Clemens, NP
• Nikisha Nicole Clementin, M.ED. CCC-SLP
• Climb, Bcba Services, Inc
• Monica Lynn Cline, PSYD
• Adam Michael Close, M.D., B.SC.

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.