Individual provider Active NPI

Patricia Wagoner Clapp, RN, ANP-C

  • Adult Health Nurse Practitioner
  • Burlington, NC
National Provider Identifier
1407196181
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
041213 Issued in NC
Practice address
906 N Anthony St
Burlington, NC 27217-6663
Phone
(336) 228-2433
Fax
(336) 335-1770
NPI assigned
Feb 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 041213 NC Primary

Addresses

Primary practice location

906 N Anthony St
Burlington, NC 27217-6663

Mailing address

P.O. Box 691
Burlington, NC 27216-0691
Phone (336) 228-2433

Other identifiers 1

IdentifierTypeStateIssuer
920011OtherNCNURSE PRACTITIONER APPROVAL

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041213NCMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1407196181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 691",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272160691",
            "telephone_number": "336-228-2433",
            "fax_number": "336-335-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N ANTHONY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272176663",
            "telephone_number": "336-228-2433",
            "fax_number": "336-335-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPP",
        "first_name": "PATRICIA",
        "middle_name": "WAGONER",
        "credential": "RN, ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "041213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER APPROVAL",
            "identifier": "920011",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.