Active NPI
Charley Marie Benefield Clanton, LBA
- Behavior Analyst
- Brentwood, TN
National Provider Identifier
1053083774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 847
- Practice address
- 5110 Maryland Way Ste 320
Brentwood, TN 37027-7591 - Phone
- (614) 588-9544
- NPI assigned
- Sep 30, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 847 | TN | Primary |
Addresses
Primary practice location
5110 Maryland Way Ste 320
Brentwood, TN 37027-7591
Mailing address
5110 Maryland Way Ste 320
Brentwood, TN 37027-7591
Phone (614) 588-9544
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
| License | State | Type | Specialty |
|---|---|---|---|
| 847 | TN | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merakey Allos | Behavior Analyst | Past | Accepting new patients |
| Merakey Allos | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Aide
- Brentwood, TN
- NPI 1275020273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1053083774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 MARYLAND WAY STE 320",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277591",
"telephone_number": "614-588-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 MARYLAND WAY STE 320",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277591",
"telephone_number": "614-588-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANTON",
"first_name": "CHARLEY",
"middle_name": "MARIE BENEFIELD",
"credential": "LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.