Lakisha Refay Clemons, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

4037 N 84TH St
Milwaukee, WI 53222-1811

Phone

(414) 461-0418

NPI assigned

Apr 5, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1207353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207353600000",
    "number": "1730352295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 N 84TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221811",
            "telephone_number": "414-461-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 N 84TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221811",
            "telephone_number": "414-461-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "LAKISHA",
        "middle_name": "REFAY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-05",
        "last_updated": "2008-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "38318700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clement J. Zablocki VA Medical Center
• Clement Zablocki Veteran'S Administration Medical Center
• Angela Clement
• Kari Clementi
• Allison Lynne Clements, APNP
• Kathleen Cleppe, LCSW
• Natalie M Clerkin, LPC
• Andrew Steven Cleveland, PHARMD
• Krashanda Cleveland, BA, MBA
• Roxanne Cliff, MHA

• Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2008; 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.