Individual provider Active NPI

Clarissa Caldwell

  • Home Health Aide
  • Montgomery, AL
National Provider Identifier
1518436260
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
201815234 Issued in AL
Practice address
5600 Carmichael Rd Apt 2207
Montgomery, AL 36117-1813
Phone
(334) 777-7294
NPI assigned
Nov 23, 2018
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 201815234 AL Primary

Addresses

Primary practice location

5600 Carmichael Rd Apt 2207
Montgomery, AL 36117-1813

Mailing address

5600 Carmichael Rd Apt 2207
Montgomery, AL 36117-1813
Phone (334) 777-7294

Other practice location 1

5600 Carmichael Rd Apt 2207
Montgomery, AL 36117-1813
Phone (334) 777-7294

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

LicenseStateTypeSpecialty
201815234ALMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1518436260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 CARMICHAEL RD APT 2207",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171813",
            "telephone_number": "334-777-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 CARMICHAEL RD APT 2207",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171813",
            "telephone_number": "334-777-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Carmichael Rd Apt 2207",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361171813",
            "country_code": "US",
            "telephone_number": "334-777-7294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "CLARISSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-23",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AL",
            "license": "201815234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.