Georquetta M Clemons

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.022698 Issued in OH

Practice address

9104 Shipherd CT
Cleveland, OH 44106-1041

Phone

(216) 820-8343

NPI assigned

Jan 1, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1295323657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 SHIPHERD CT",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061041",
            "telephone_number": "216-820-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 SHIPHERD CT",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061041",
            "telephone_number": "216-820-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "GEORQUETTA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.022698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Stanley Clements, M.S.,C.G.C.
• Rayshawn Clements
• Brittany Cheri Clemis-Jones
• Anne M. Clemons, DMD
• Breanay Clemons
• Meaghan S Clemons, LSW
• Shanice L Clemons
• Christina Cavalier Clemow, D.O.
• Zachariah Scott Clemsen, LAT, PTA
• Cleveland Academy for Scholarship Technology & Leadership

• Massage Therapist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Massage Therapist in Ohio

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