Virginia Clement, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0064407 Issued in CO

Practice address

1330 Oakridge Dr Unit 100
Fort Collins, CO 80525-9651

Phone

(970) 484-4871

NPI assigned

Apr 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Associates of Northern Colorado

  • Pediatrics Physician
  • Fort Collins, CO
  • NPI 1336419530
  NPD (past)

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1538523683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259651",
            "telephone_number": "970-484-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259651",
            "telephone_number": "970-484-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "VIRGINIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0064407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Creek Dental
• Clear Path Home Care
• Craig R Clear, M.D.
• Orrie G Clemens, MD
• Sharon R Clemens, LCSW
• Avery E Clemmons
• Heather Cleveland, PA-C
• Thomas Scott Cleveland, D.P.T.
• Dylan Clifford, PT
• Jamie Lynne Cline, LPC

• Pediatrics Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.