Individual provider Active NPI

Donna Jeanne Femino Clark, APRN BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • North Falmouth, MA
National Provider Identifier
1356431530
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
120402 Issued in MA
Practice address
84 Ryder Rd
North Falmouth, MA 02556-1495
Phone
(508) 563-7220
Fax
(508) 563-7220
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 120402 MA Primary

Addresses

Primary practice location

84 Ryder Rd
North Falmouth, MA 02556-1495

Mailing address

Pob 1495
84 Ryder Rd
North Falmouth, MA 02556-1495
Phone (508) 563-7220

Other identifiers 1

IdentifierTypeStateIssuer
PN0682OtherBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
120402MAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1356431530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 1495",
            "address_2": "84 RYDER RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025561495",
            "telephone_number": "508-563-7220",
            "fax_number": "508-563-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 RYDER RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025561495",
            "telephone_number": "508-563-7220",
            "fax_number": "508-563-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEMINO CLARK",
        "first_name": "DONNA",
        "middle_name": "JEANNE",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "120402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PN0682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.