Individual provider Active NPI

Morgan Marie McClenon, RN

  • Registered Nurse
  • Trout Creek, NY
National Provider Identifier
1245831320
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
677735-1 Issued in NY
Practice address
8253 State Highway 206
Trout Creek, NY 13847
Phone
(607) 832-5888
NPI assigned
Nov 4, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 677735-1 NY Primary

Addresses

Primary practice location

8253 State Highway 206
Trout Creek, NY 13847

Mailing address

PO Box 43
Trout Creek, NY 13847-0043
Phone (607) 761-8554

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mmcclenon

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
677735-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Past Accepting new patients
Delaware County PastSince Jul 13, 2018 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1245831320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "TROUT CREEK",
            "state": "NY",
            "postal_code": "138470043",
            "telephone_number": "607-761-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8253 STATE HIGHWAY 206",
            "city": "TROUT CREEK",
            "state": "NY",
            "postal_code": "13847",
            "telephone_number": "607-832-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENON",
        "first_name": "MORGAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "677735-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mmcclenon",
            "affiliation": "N",
            "address_1": "1 Hospital Rd",
            "city": "Walton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "138561454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trout Creek, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.