Clifton Edward Tavares, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

672219 Issued in TX

Practice address

Weed Army Community Hospital
BLDG 166, RM 343
Ft Irwin, CA 92310

Phone

(760) 380-2036

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265462030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEED ARMY COMMUNITY HOSPITAL",
            "address_2": "BLDG 166, RM 343",
            "city": "FT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEED ARMY COMMUNITY HOSPITAL",
            "address_2": "BLDG 166, RM 343",
            "city": "FT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "CLIFTON",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "672219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne Ellen Strathe, R.N.
• John Anthony Stunja, RD, LD, CDE
• Lytosia Denise Sutton, DA
• Tafaogalupe Swanney, DENTAL ASSISTANT
• George Stanley Szworc-Betran, RN
• Jacqueline Taylor, LCSW
• Kristen A. Tharp, R.N.
• Jesse Craig Thompson, DMD
• Jordan H.Q. Tran, DMD
• Ashonda T-Kay Trice, RN

• Registered Nurse in Ft Irwin, CA
• Providers in Ft Irwin, CA by specialty
• Registered Nurse in California

• 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.

Verify at the official NPI Registry.