Anna Mary Clifford, PNP
Individual provider Active NPI Pediatric Nurse Practitioner · Horseheads, NY
NPI 1205320587 · NPPES record last updated Mar 24, 2021
Key facts
- NPI
- 1205320587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 382862 (NY)
- Practice address
- 3344 Chambers Rd Ste 100
Horseheads, NY 14845-1403 - Phone
- (607) 742-2264
- NPI assigned
- Jun 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210129002020 | NY | Practitioner - Nurse Practitioner | 0143634360 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Buttermilk Falls Pediatrics | Past | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
3344 Chambers Rd
Horseheads, NY 14845
Phone (607) 734-2264
3344 Chambers Rd
Ste 100
Horseheads, NY 14845
Phone (607) 734-2264
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- aclifford49674@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382862 | NY | Yes |
Addresses
Primary practice location
3344 Chambers Rd Ste 100
Horseheads, NY 14845-1403
Mailing address
1 Guthrie Sqare
Sayre, NY 18840-1625
Phone (570) 888-5858
Other names
- Anna Mary Tesillo
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aclifford49674@direct-guthrie.org | Direct |
Other providers in Horseheads, NY
- Wendy C Christmas
- Richard Paul Chrzanowski
- Melissa Clark
- Andrew Claypool
- Megan Nicole Clayton
- Stanley Berrick Clifton III
- Annette B Cobb
- Colorectal Surgery & Medicine, PC
- Aileen S Colunio
- Cameron James Cowburn
All providers in Horseheads, NY · Pediatric Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.