Active NPI
Mary S Clemens, FNP
- Family Nurse Practitioner
- Oak Ridge, TN
National Provider Identifier
1093786253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN 8098
- Practice address
- 988 Oak Ridge Tpke
Suite L-50, Physicians Plaza
Oak Ridge, TN 37830-6930 - Phone
- (865) 835-4320
- NPI assigned
- Jan 27, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN 8098 | TN | Primary |
Addresses
Primary practice location
988 Oak Ridge Tpke
Suite L-50, Physicians Plaza
Oak Ridge, TN 37830-6930
Mailing address
988 Oak Ridge Tpke
Suite L-50, Physicians Plaza
Oak Ridge, TN 37830-6930
Phone (865) 835-4320
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN 8098 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health - Blount Memorial Hospital Inc. | Past | Accepting new patients | |
| East Tennessee Neuropathy, PC | 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.
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-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1093786253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "SUITE L-50, PHYSICIANS PLAZA",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-835-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "SUITE L-50, PHYSICIANS PLAZA",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-835-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENS",
"first_name": "MARY",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN 8098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.