Individual provider Active NPI

Jeanne Anne Clement, EDD APRN BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1124198825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN 0762881 Issued in OH
Practice address
5151 Reed Rd
BLDG C128 Central Ohio Behavioral Medicine Inc
Columbus, OH 43220-2553
Phone
(614) 538-8300
Fax
(614) 538-1656
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN 0762881 OH Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X NS 02778 OH

Addresses

Primary practice location

5151 Reed Rd
BLDG C128 Central Ohio Behavioral Medicine Inc
Columbus, OH 43220-2553

Mailing address

1180 Worthington HGTS Blvd
Columbus, OH 43235
Phone (614) 888-7659

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

State licenses

LicenseStateTypeSpecialty
NS 02778OHMDAdult Psychiatric/Mental Health Registered Nurse
RN 0762881OHMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124198825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 WORTHINGTON HGTS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-888-7659",
            "fax_number": "614-292-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "BLDG C128 CENTRAL OHIO BEHAVIORAL MEDICINE INC",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202553",
            "telephone_number": "614-538-8300",
            "fax_number": "614-538-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "JEANNE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "EDD APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN 0762881",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "NS 02778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.