Glenda Jean Clemens, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0069330 Issued in OK

Practice address

1525 4TH Ave
Suite 300
Seattle, WA 98101-1607

Phone

(206) 838-6856

Fax

(206) 838-3085

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Carena Medical Providers PS

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1902935711
  NPD (past)
• Caresimple Providers PS

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1811376833
  NPD (past)
• Benjamin Green MD Inc

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1114299740
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1124036348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 4TH AVE",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011607",
            "telephone_number": "206-838-6856",
            "fax_number": "206-838-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 4TH AVE",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011607",
            "telephone_number": "206-838-6856",
            "fax_number": "206-838-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "GLENDA",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0069330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200031570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan W Clem, DC
• Adam Lynn Clemans, PHARMD
• David P. Clemens, M.D.
• Elizabeth Anne Clemens, P.T.
• Evan Casey Clemens, PHARM.D.
• Clement & Teel PS Corporation
• Kai A Clement-Milanovich
• Bruce Philip Clement, DDS
• Joan L. Clement, LICSW
• Leslie M Clement, DC

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.