Active NPI
Lindsey Marie Clemo
- Family Nurse Practitioner
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178192
- Practice address
- 817 Davis Street, Suite 2
Blacksburg, VA 24060 - Phone
- (540) 951-8885
- Fax
- (540) 951-8887
- NPI assigned
- Oct 8, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178192 | VA | Primary |
Addresses
Primary practice location
817 Davis Street, Suite 2
Blacksburg, VA 24060
Mailing address
213 S Jefferson St Ste 625
Roanoke, VA 24011-1713
Phone (540) 224-5516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Lake Spring Emergency Group, LLC | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients |
Locations
817 Davis St
Ste 2
Blacksburg, VA 24060
Phone (540) 951-3429
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
2706 Ogden Rd
Roanoke, VA 24018
Phone (540) 970-8000
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
3 Riverside Cir
Roanoke, VA 24016
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Interoperability endpoints
- lclemo105514@direct.carilionclinic.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Emergency Medicine Physician
- Salem, VA
- NPI 1215429600
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1609418938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 625",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5516",
"fax_number": "540-224-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 DAVIS STREET, SUITE 2",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "24060",
"telephone_number": "540-951-8885",
"fax_number": "540-951-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMO",
"first_name": "LINDSEY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.