Terri L Clemmons, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L15798 Issued in NM

Practice address

110 E Mescalero Rd
Roswell, NM 88201-6542

Phone

(505) 623-1480

Fax

(505) 622-3325

NPI assigned

Aug 31, 2006

Last updated

May 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Terri L Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling Associates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roswell, NM
  • NPI 1114979747
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1285746776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1978",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021978",
            "telephone_number": "505-623-1480",
            "fax_number": "505-622-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MESCALERO RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016542",
            "telephone_number": "505-623-1480",
            "fax_number": "505-622-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMONS",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "L15798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "DAVIS",
            "middle_name": "L",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mariola D Clark, MS CCC-SLP
• Classic Chiropractic Clinic PC
• Brent Clay
• Amanda R Clem
• Maria Clements, COTA/L
• Clinical Colleagues Inc
• Steven M Cobb, PH.D.
• Chrishawn Cobos
• Cynthia Cobos, LMSW
• Yasmine Cobos

• Licensed Practical Nurse in Roswell, NM
• Providers in Roswell, NM by specialty
• Licensed Practical Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.