Active NPI
Wendy Arlesia Clemons
- Licensed Practical Nurse
- La Plata, MD
National Provider Identifier
1376755264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP38192
- Practice address
- 10200 La Plata Rd
La Plata, MD 20646 - Phone
- (301) 934-1900
- Fax
- (301) 934-8706
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP38192 | MD | Primary |
Addresses
Primary practice location
10200 La Plata Rd
La Plata, MD 20646
Mailing address
22131 Goldenrod Drive
Great Mills, MD 20634
Phone (301) 737-8857
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP38192 | MD | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376755264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22131 GOLDENROD DRIVE",
"city": "GREAT MILLS",
"state": "MD",
"postal_code": "20634",
"telephone_number": "301-737-8857",
"fax_number": "301-737-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 LA PLATA RD",
"city": "LA PLATA",
"state": "MD",
"postal_code": "20646",
"telephone_number": "301-934-1900",
"fax_number": "301-934-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "WENDY",
"middle_name": "ARLESIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MD",
"license": "LP38192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Plata, MD
- Civista Clinical Services, LLC
- Civista Medical Center Inc
- Civista Medical Center, Inc.
- Civista Medical Center, Inc.
- Civista Pediatric Hospitalist Group
- Cloverleaf Counseling Services, LLC
- Rekha Jena Coe
- Constance Coggins, NACA II, CAC-AD BAS
- Complete Care at la Plata LLC
- Comprehensive Rehab Consultants PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.