Active NPI
Adrienne M Clemons
- Occupational Therapist
- Gainesville, FL
National Provider Identifier
1548679822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT16023
- Practice address
- 4500 W Newberry Rd
Gainesville, FL 32607-2245 - Phone
- (352) 336-6000
- Fax
- (352) 548-3281
- NPI assigned
- Aug 12, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT16023 | FL | Primary |
Addresses
Primary practice location
4500 W Newberry Rd
Gainesville, FL 32607-2245
Mailing address
4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1336 Hwy 54 W
BLDG 400 Suite C
Fayetteville, GA 30214-4574
Phone (770) 461-6142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT16023 | FL | MD | Occupational Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1548679822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072245",
"telephone_number": "352-336-6000",
"fax_number": "352-332-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072245",
"telephone_number": "352-336-6000",
"fax_number": "352-548-3281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "ADRIENNE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT16023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.