Andrea H Clayman, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN078635 AP01911 Issued in LA

Practice address

11812 Crusselle Dr
Jacksonville, FL 32223-0876

Phone

(904) 252-5265

NPI assigned

Jul 21, 2005

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

Other identifiers 1

Other names 1

• Andrea Vogel Clayman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Mobile Medical Industries Inc

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1528019247
  NPD (past)
• Our Lady of the Lake Hospital Inc

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275577603
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1114926037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 CRUSSELLE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230876",
            "telephone_number": "904-252-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 CRUSSELLE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230876",
            "telephone_number": "904-252-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYMAN",
        "first_name": "ANDREA",
        "middle_name": "H",
        "credential": "GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "RN078635 AP01911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685607",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CLAYMAN",
            "middle_name": "VOGEL",
            "credential": "GNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• April Dawn Clay, FNP-C
• Justin Ryan Clay, MD
• Kiara N Clay
• Taci Brianne Clay, LMHC
• Amy Jill Clayman, MA/CCC-SLP
• James Ernest Claypool, IDC
• Colton Trevor Clayton, AUD
• Dana Renee Clayton, PA-C
• Deirdre Clayton
• Jennifer Michelle Clayton, RN, RTSCBC, SBD

• Gerontology Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.