Kristine A Clay, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085002469 Issued in IL

Practice address

2004 W Powers Ave
Littleton, CO 80120-1287

Phone

(254) 592-2289

NPI assigned

Feb 9, 2006

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

Physician Assistant

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.

• Michael L. Davis, M.D. P.a.

  • Family Medicine Physician
  • Glen Rose, TX
  • NPI 1194985325
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1568435519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 W POWERS AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201287",
            "telephone_number": "254-592-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 W POWERS AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201287",
            "telephone_number": "254-592-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lynea Clark, M.A., OTR/L
• Madison Clarke
• Megan Clarke, RN
• Donna Jean Clarkin I, NP
• Clarks Condensed, LLC (The Breastfeeding Mama)
• Clear River Counseling, LLC
• Clement Park Dental Care, LLC (Clement Park Dental Care)
• Catherine Clemente, LCSW
• Lauren Christina Clements, L.C.S.W.
• Megan Clift

• Physician Assistant in Littleton, CO
• Providers in Littleton, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.