Individual provider Active NPI

Euphemia G Clower, LPN

  • Licensed Practical Nurse
  • Ten Mile, TN
National Provider Identifier
1194476465
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
30264 Issued in TN
Practice address
1355 Dry Fork Valley Rd
Ten Mile, TN 37880-2016
Phone
(865) 679-3702
NPI assigned
Jan 18, 2022
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 30264 TN Primary

Addresses

Primary practice location

1355 Dry Fork Valley Rd
Ten Mile, TN 37880-2016

Mailing address

1355 Dry Fork Valley Rd
Ten Mile, TN 37880-2016
Phone (865) 679-3702

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ERSP Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30264TNMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1194476465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 DRY FORK VALLEY RD",
            "city": "TEN MILE",
            "state": "TN",
            "postal_code": "378802016",
            "telephone_number": "865-679-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 DRY FORK VALLEY RD",
            "city": "TEN MILE",
            "state": "TN",
            "postal_code": "378802016",
            "telephone_number": "865-679-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWER",
        "first_name": "EUPHEMIA",
        "middle_name": "G",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "30264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ERSP",
            "affiliation": "N",
            "endpointDescription": "ERSP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1355 Dry Fork Valley Rd",
            "city": "Ten Mile",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378802016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ten Mile, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.