Mary Lu Clay, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

189313-30 Issued in WI

Practice address

4602 Pendleton CT
Milton, WI 53563-8434

Phone

(217) 502-9161

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1124367800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 PENDLETON CT",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "535638434",
            "telephone_number": "217-502-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 PENDLETON CT",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "535638434",
            "telephone_number": "217-502-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "MARY",
        "middle_name": "LU",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "189313-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Leroy Camenga, M.D.
• Gina F Carrola
• Katie Check
• Rachell Chesmore
• Bethany Anne Christon, M.S., CCC-SLP
• Michael Thomas D'Hondt, D.D.S.
• Carrie A Dahl, PA-C
• Alexandra Didelot, PT
• Edgerton Hospital and Health Services, Inc.
• Family Tree (The Family Tree Mental Health Clinic, LLP)

• Registered Nurse in Milton, WI
• Providers in Milton, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.