Demetria S Clemons, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001211714 Issued in VA

Practice address

144 Business Park Dr Ste 202
Virginia Beach, VA 23462-6527

Phone

(757) 937-9569

Fax

(757) 937-9570

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other names 1

• Mrs. Demetria S Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Angelic Touch Concierge Nursing LLC

  • Home Health Agency
  • Virginia Beach, VA
  • NPI 1063957199
  NPD Authorized official
• Angelic Touch Supportive Services

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
  • NPI 1154002616
  NPD Authorized official

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1154733830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BUSINESS PARK DR STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626527",
            "telephone_number": "757-937-9569",
            "fax_number": "757-937-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 BUSINESS PARK DR STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626527",
            "telephone_number": "757-937-9569",
            "fax_number": "757-937-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "DEMETRIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "HCO-251653",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "HCO-251653",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-251653",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "HCO-251653",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": "HCO-251653",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "HCO-251653",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001211714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMETRIA",
            "last_name": "FULLER",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce Clements
• Mary Sharon Clements, CRNA
• Richard Eugene Clements
• Anna N Clemmer, DPT
• Karen E Clemmons
• Lovely Clermeus
• Teasie Kahren Cleveland, DPT
• Beth Suzanne Clevenger, MS
• David Clifford, MD
• Thomas George Clifford Jr., M.D.

• Registered Nurse in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; 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.