Kimelia Clendenin, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

121432 Issued in AK

Practice address

701 E Tudor Rd Ste 120
Anchorage, AK 99503-7456

Phone

(907) 264-1370

Fax

(907) 787-2207

NPI assigned

Feb 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimelia.clendenin.1@16446.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metro Health, Inc.

  dba Metro Health of Apopka

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1457521460
  NPD

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1447619259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 PROSPECT DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075926",
            "telephone_number": "386-235-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E TUDOR RD STE 120",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037456",
            "telephone_number": "907-264-1370",
            "fax_number": "907-787-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENDENIN",
        "first_name": "KIMELIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP1557042",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AK",
            "license": "121432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Clements, CF-SLP
• Angelal Kay Clemmons
• Kaleb Philip Clemons, OD
• Sage Alexandra Clemons
• Brianna Clendenin
• Stacey Rae Clendenning, PTA
• Carlyn Cleveland
• Claire Cleveland
• Rebecca Cleveland, CCC-SLP
• Violet Cleveland

• Gerontology Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Gerontology Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.