Individual provider Active NPI

Reanna Lynn Clayton, MSN, FNP-C

  • Primary Care Nurse Practitioner
  • Templeton, CA
National Provider Identifier
1356924799
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F01210686 Issued in CA
Practice address
1320 Las Tablas Rd
Templeton, CA 93465-9711
Phone
(805) 434-0025
NPI assigned
May 3, 2021
Last updated
May 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F01210686 CA Primary

Addresses

Primary practice location

1320 Las Tablas Rd
Templeton, CA 93465-9711

Mailing address

708 Pino Way
Paso Robles, CA 93446-1816
Phone (805) 748-8445

Other identifiers 1

IdentifierTypeStateIssuer
95017218MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20210512001970 CA Practitioner - Nurse Practitioner 9133538655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Coast Direct Medical Care PCGroup PAC ID 3173058583, 3 clinicians
David B. HammerGroup PAC ID 3971559881, 117 clinicians
Lomelino Medical Group PCGroup PAC ID 3274718085, 5 clinicians

Practice addresses (Care Compare)

Templeton, CA 93465
Phone (805) 988-4400

1051 Las Tablas Rd
Templeton, CA 93465-5603

1320 Las Tablas Rd
Suite F
Templeton, CA 93465-9711
Phone (805) 434-0025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01210686CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lomelino Medical Group PC CurrentSince May 17, 2024 Accepting new patients
Central Coast Direct Medical Care PC CurrentSince Nov 8, 2024 Accepting new patients

Locations

1320 Las Tablas Rd
Ste F
Templeton, CA 93465
Phone (805) 434-0025

Interoperability endpoints

  • Direct secure messaging: reanna.clayton@228658002722820.direct.elationemr.com
  • Direct secure messaging: reanna.clayton@823930925416452.direct.elationemr.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1356924799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 PINO WAY",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461816",
            "telephone_number": "805-748-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 LAS TABLAS RD",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659711",
            "telephone_number": "805-434-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "REANNA",
        "middle_name": "LYNN",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "F01210686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95017218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.