Active NPI
Lindsay Clayton, PA
- Physician Assistant
- Omaha, NE
National Provider Identifier
1366747230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2185
- Practice address
- Emile @ 42ND St
Omaha, NE 68198-6574 - Phone
- (402) 559-4988
- Fax
- (402) 559-9643
- NPI assigned
- Jan 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 013251 | NY | |
| Physician Assistant | 363A00000X | 2185 | NE | Primary |
Addresses
Primary practice location
Emile @ 42ND St
Omaha, NE 68198-6574
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Other practice location 1
1 Gustave L Levy Pl # 1104
New York, NY 10029-6574
Phone (212) 659-8086
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013251 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366747230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMILE @ 42ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681986574",
"telephone_number": "402-559-4988",
"fax_number": "402-559-9643"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L Levy Pl # 1104",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296574",
"country_code": "US",
"telephone_number": "212-659-8086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAYTON",
"first_name": "LINDSAY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "013251",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.