Zekendra Clovis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6635 Issued in MN

Practice address

2300 Timberline Dr Apt 155
Grapevine, TX 76051-4362

Phone

(817) 308-0701

NPI assigned

Jun 16, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  KY

  Medicare reassignment NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1649830332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 TIMBERLINE DR APT 155",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 TIMBERLINE DR APT 155",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514362",
            "telephone_number": "817-308-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOVIS",
        "first_name": "ZEKENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Deallen Clark, M.D.
• Clinical Anesthesia Consultants LLC
• Clinical Associates, Inc
• Clinical Pediatric Associates of Irving & Las Colinas PA (Clinical Pediatric Associates of North Texas)
• Cloud Medical Transportation LLC
• Co-Active Physical Therapy and Wellness Center
• Coach Dee Fitness and Nutrition LLC
• Becky Coats, DDS
• Chandler Paige Cobb, PT, DPT
• Kendall Robert Coffey Jr., MA, LPC

• Family Nurse Practitioner in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; 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.

Verify at the official NPI Registry.