Brett A Clinton, BSN, ASN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9511621 Issued in FL

Practice address

10501 Fgcu Blvd S
Fort Myers, FL 33965-6502

Phone

(239) 590-1000

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1679185961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COLUMBUS AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339361845",
            "telephone_number": "239-849-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 FGCU BLVD S",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339656502",
            "telephone_number": "239-590-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "BRETT",
        "middle_name": "A",
        "credential": "BSN, ASN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9511621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "baclinton9602@eagle.fgcu.edu",
            "affiliation": "N",
            "address_1": "10501 Fgcu Blvd S",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339656502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith Charlotte Clingman, M.A, LMFT
• Clinic Nova Vida
• Clinical Lab Solutions LLC
• Clinical Research West Coast.Inc
• Clinics to Go, P.a.
• Rebecca Nicole Clippard, PHARMD
• Hannah Clonch
• Taylor Cloughley, RBT
• Hailey Clouse
• Christi Cluff

• Registered Nurse in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.