Anne Clocklin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3353 Lousma Dr SE
Wyoming, MI 49548-2251

Phone

(616) 241-6258

NPI assigned

Jul 19, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1356639728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495010141",
            "telephone_number": "616-726-5114",
            "fax_number": "616-243-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 LOUSMA DR SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495482251",
            "telephone_number": "616-241-6258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 36th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495482319",
            "country_code": "US",
            "telephone_number": "616-726-5114 x11244",
            "fax_number": "616-243-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOCKLIN",
        "first_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Clarey, PTA
• Clareza Counseling LLC
• Jeremiah Gordon Clarke, DC
• Joshua Clements
• Carly Cleveland, COTA
• Erin Elizabeth Clover, PA-C
• Clyde Park Chiropractic, P.C.
• Clyde Park Pediatrics, P.C.
• Allan G Coates, DO
• Joanne Renee Coates, MSN, FNP

• Case Manager/Care Coordinator in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.