Individual provider Active NPI

Thelma Jean McClenton, FNP

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1659459246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R621714 Issued in MS
Practice address
1237 Highway 182 E
Starkville, MS 39759-9529
Phone
(662) 320-7001
Fax
(662) 320-4830
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R621714 MS Primary

Addresses

Primary practice location

1237 Highway 182 E
Starkville, MS 39759-9529

Mailing address

7060 Lone Oak Rd
West Point, MS 39773-8910
Phone (662) 494-7965

Other identifiers 1

IdentifierTypeStateIssuer
00118938MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000989 MS Practitioner - Nurse Practitioner 1355231291 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R621714MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aberdeen Health Clinic Inc CurrentSince Jun 30, 2015 Accepting new patients

Locations

501 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-6110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19804/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thelma.mcclenton.1@19701.direct.athenahealth.com
  • Direct secure messaging: thelma.mcclenton.1@19804.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659459246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 LONE OAK RD",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397738910",
            "telephone_number": "662-494-7965",
            "fax_number": "662-320-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 HIGHWAY 182 E",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599529",
            "telephone_number": "662-320-7001",
            "fax_number": "662-320-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENTON",
        "first_name": "THELMA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R621714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118938",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.