Angela M Clapp, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

15324 Issued in TN

Practice address

9900 Bren Rd E
Minnetonka, MN 55343-9664

Phone

(423) 307-1468

NPI assigned

Nov 2, 2010

Last updated

Jun 26, 2020By 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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Bean Station Family Medicine, PC

  • Primary Care Clinic/Center
  • Bean Station, TN
  • NPI 1255594487
  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1356641781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 MOUNT PLEASANT RD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604709",
            "telephone_number": "865-274-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "423-307-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPP",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "15324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citadel Mahtomedi LLC
• Citadel Richland Woods LLC
• Citadel Salida Woods LLC
• Citadel South Woods LLC
• Citadel Southwest Commons LLC
• Diane Maxine Clark, PT
• Kaulette Clark
• Pontris Sapp Clark, NURSE PRACTITIONER
• Steven Allen Clark, MD
• Jazmin Clausen-Thomas

• Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.