Active NPI
Jennifer Clement, CFM
- Mastectomy Fitter
- Oxford, NC
National Provider Identifier
1497048086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- CFM02010
- Practice address
- 142 Roxboro Rd
Oxford, NC 27565-2642 - Phone
- (919) 693-2260
- Fax
- (919) 693-7368
- NPI assigned
- May 16, 2011
- Last updated
- May 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | CFM02010 | NC | Primary |
Addresses
Primary practice location
142 Roxboro Rd
Oxford, NC 27565-2642
Mailing address
142 Roxboro Rd
Oxford, NC 27565-2642
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 |
|---|---|---|---|
| CFM02010 | NC | MD | Mastectomy Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1497048086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 ROXBORO RD",
"city": "OXFORD",
"state": "NC",
"postal_code": "275652642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 ROXBORO RD",
"city": "OXFORD",
"state": "NC",
"postal_code": "275652642",
"telephone_number": "919-693-2260",
"fax_number": "919-693-7368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "JENNIFER",
"credential": "CFM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "NC",
"license": "CFM02010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.