Active NPI
Tara Clanton
- Registered Nurse
- Quitman, TX
National Provider Identifier
1225655434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 832158
- Practice address
- 604 Christopher St
Quitman, TX 75783-1648 - Phone
- (903) 738-8505
- NPI assigned
- Jul 3, 2020
- Last updated
- Jul 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 832158 | TX | Primary |
Addresses
Primary practice location
604 Christopher St
Quitman, TX 75783-1648
Mailing address
604 Christopher St
Quitman, TX 75783-1648
Phone (903) 738-8505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 832158 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593734400000",
"number": "1225655434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 CHRISTOPHER ST",
"city": "QUITMAN",
"state": "TX",
"postal_code": "757831648",
"telephone_number": "903-738-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 CHRISTOPHER ST",
"city": "QUITMAN",
"state": "TX",
"postal_code": "757831648",
"telephone_number": "903-738-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANTON",
"first_name": "TARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-03",
"last_updated": "2020-07-03",
"certification_date": "2020-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "832158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quitman, TX
- Blue Skies Mental Health Services, PLLC
- Clayton Boquet
- Brookshire Grocery Company (Brookshires Pharmacy)
- George V Cathey Jr., MD
- Christus Trinity Clinic Texas (Trinity Clinic Quitman)
- Courtney Taylor Crawford, LVN
- David Nichols (All-Nite Sleep Lab)
- Jimmy Davis, LCDC, LCPC, CFC
- Paula Jean Dibenedetto, ARNP
- James Dee Dopson Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.