Active NPI
Vincient Cleamons, R.D.
- Registered Dietitian
- Muskogee, OK
National Provider Identifier
1265455083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 692977
- Practice address
- 1011 Honor Heights Drive
VA Medical Center
Muskogee, OK 74401 - Phone
- (918) 680-3735
- Fax
- (918) 680-3829
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 Dietitian | 133V00000X | 692977 | Primary |
Addresses
Primary practice location
1011 Honor Heights Drive
VA Medical Center
Muskogee, OK 74401
Mailing address
3300 Monta Avenue
Muskogee, OK 74403
Phone (801) 597-6007
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265455083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 MONTA AVENUE",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "74403",
"telephone_number": "801-597-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 HONOR HEIGHTS DRIVE",
"address_2": "VA MEDICAL CENTER",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "74401",
"telephone_number": "918-680-3735",
"fax_number": "918-680-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEAMONS",
"first_name": "VINCIENT",
"name_prefix": "Mr.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "692977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.