Carisa Ann Clagg

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1464 State Route 141
Gallipolis, OH 45631-8735

Phone

(740) 853-0101

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1235701731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 STATE ROUTE 141",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318735",
            "telephone_number": "740-853-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 STATE ROUTE 141",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318735",
            "telephone_number": "740-853-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAGG",
        "first_name": "CARISA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montrie Chaksupa, MD
• Cora Beth Chapman, APRN-CNP
• Nathaniel D Chapman, LAT, ATC
• Terrami Cicoff, CSU SUPERVISOR
• Circulo Health Services, Inc
• Jacqueline Jill Clagg, CDCA
• Jessica L Clagg
• Kathryn J Clagg, NP
• Nathan Clagg II, NP
• Tabatha Clagg

• Personal Care Attendant in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.