Charlene Lloy Close, TECHNICIAN

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Practice address

777 E William St Ste 106
Carson City, NV 89701-4057

Phone

(775) 686-0117

Fax

(775) 345-3554

NPI assigned

Jan 31, 2019

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)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connections Behavioral Health Center

  • Psychiatry Physician
  • Carson City, NV
  • NPI 1215453915
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1629533914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E WILLIAM ST STE 106",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014057",
            "telephone_number": "775-686-0117",
            "fax_number": "775-345-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E WILLIAM ST STE 106",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014057",
            "telephone_number": "775-686-0117",
            "fax_number": "775-345-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "CHARLENE",
        "middle_name": "LLOY",
        "name_prefix": "Mrs.",
        "credential": "TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Clemensen
• Clemmensen, Adams, & Tack PSC (Carson Dermatology)
• Charles Clemmensen, M.D.
• Avenice Cleveland
• Clay Patrick Clifton
• Erin Clubb
• Coates & Doran, PLLC (Sandstone Therapy)
• Bodie Ward Coates, LMFT-S, LCADC, NCC
• Maria Coba
• Coc Consulting LLC

• Technician/Technologist in Carson City, NV
• Providers in Carson City, NV by specialty
• Technician/Technologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.