Active NPI
Jamie Lancaster Clements
- Physical Therapy Assistant
- Nashville, NC
National Provider Identifier
1487110607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A5940
- Practice address
- 1210 Eastern Ave
Nashville, NC 27856-1817 - Phone
- (252) 462-0070
- NPI assigned
- Feb 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5940 | NC | Primary |
Addresses
Primary practice location
1210 Eastern Ave
Nashville, NC 27856-1817
Mailing address
722 Goose Chase CT
Nashville, NC 27856-7508
Phone (252) 943-1674
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 |
|---|---|---|---|
| A5940 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1487110607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 GOOSE CHASE CT",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "278567508",
"telephone_number": "252-943-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 EASTERN AVE",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "278561817",
"telephone_number": "252-462-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "JAMIE",
"middle_name": "LANCASTER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A5940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.