Theresa Lynn Clifford, F.N.P., A.P.R.N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3002154 Issued in KY

Practice address

60 Mack Walters Rd
Shelbyville, KY 40065-1738

Phone

(502) 633-4622

Fax

(502) 633-6925

NPI assigned

Oct 19, 2006

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 identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: theresaclifford@kysjhspe.allscriptsdirect.net

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.

• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD
• Madonna Ringswald DO PSC

  • Internal Medicine Physician
  • La Grange, KY
  • NPI 1225169626
  NPD (past)
• Tri County OB GYN Associates PLC LLC

  • Obstetrics & Gynecology Physician
  • La Grange, KY
  • NPI 1649349911
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1316029507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-633-4622",
            "fax_number": "502-633-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MACK WALTERS RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651738",
            "telephone_number": "502-633-4622",
            "fax_number": "502-633-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "F.N.P., A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000626807",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "3722988000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100078250",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50024463",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Alan Claypool, MDIV, MS KLPC, LPCA
• Sydney Marie Clayton
• Barry J Cleary, PA-C
• Marilyn Cleveland, SLP
• Nakela Cleveland
• Hadly Shae Clutter, PT, DPT
• Alethea Christine Coffee, IECE CERTIFIED
• Julie Coffman
• Diana Cole, DC
• Jamie Lynn Coleman, DMD

• Family Nurse Practitioner in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.