Clea McBride

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

MT006647 Issued in GA

Practice address

118 North Ave
Ste-K
Jonesboro, GA 30236-8405

Phone

(678) 348-6824

NPI assigned

Sep 22, 2014

Last updated

Sep 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Clea McBride Etheridge Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1205238268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NORTH AVE",
            "address_2": "STE-K",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368405",
            "telephone_number": "678-348-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NORTH AVE",
            "address_2": "STE-K",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368405",
            "telephone_number": "678-348-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "CLEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT006647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLEA",
            "last_name": "ETHERIDGE",
            "middle_name": "MCBRIDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristin Renee Mayo, DC
• Paul Christian Mayor, M.D.
• Mayuga Family Medicine LLC
• Valerie L McAdams, PSY.D.
• Tanya McAllister
• Taylor McCall
• Schlonda McCarthan
• Raymond A McCarthy, DO
• Julie Weiss McCarty, MD
• Kristin M McCarver, CNP

• Reflexologist in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Reflexologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.