Andrea Clipper – Rehabilitation Practitioner

Key facts

NPI: 1679875397
Entity type: Individual (NPI type 1)
Primary specialty: Rehabilitation Practitioner 225400000X
Practice address: 1941 Napoleon Dr
Las Vegas, NV 89156-7187
Phone: (702) 438-8452
Fax: (702) 438-2981
NPI assigned: Dec 1, 2010
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Progressive Pathways Group, Inc. Rehabilitation Practitioner · Las Vegas, NV · NPI 1316249170

NPD (past) REHABILITATION PRACTITIONER

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Progressive Pathways Group, Inc.	Rehabilitation Practitioner	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Rehabilitation Practitioner	225400000X			Yes

Addresses

Primary practice location

1941 Napoleon Dr
Las Vegas, NV 89156-7187

Mailing address

1941 Napoleon Dr
Las Vegas, NV 89156-7187
Phone (702) 438-8452

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2010.

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1679875397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 NAPOLEON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891567187",
            "telephone_number": "702-438-8452",
            "fax_number": "702-438-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 NAPOLEON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891567187",
            "telephone_number": "702-438-8452",
            "fax_number": "702-438-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIPPER",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Nancy K Clinton
Robert Clinton, RN
Oshmine Clisby
Chantal Desire'E Cloninger
Hannah Kristen Cloninger, CPC-I, CADC-I, NCC
Dillan Clontz
Torrie Patrice Clontz, APRN

All providers in Las Vegas, NV · Rehabilitation Practitioner in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.