Jeffrey D Clement, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

RI09696 Issued in RI

Practice address

1076 N Main St
Providence, RI 02904-5760

Phone

(401) 861-7711

Fax

(401) 421-5710

NPI assigned

Jul 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hypertension & Nephrology, Inc.

  • Specialist
  • Providence, RI
  • NPI 1639277072
  Medicare reassignment NPD

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1164420576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045760",
            "telephone_number": "401-861-7711",
            "fax_number": "401-421-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045760",
            "telephone_number": "401-861-7711",
            "fax_number": "401-421-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "RI09696",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "RI09696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006284",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Claus, MD
• Estefania Clavijo, LCSW
• Jessica E Clayburgh, P.T.
• Clear Space MH, LLC
• Clear Voice Therapy
• Melissa Lynn Clement, MSW
• Regina Clement
• Ashley Pearl Clements
• Erin Elizabeth Clements, LCSW
• Lori A Clements, RN

• Nephrology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Nephrology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.