Mar Y Louise Clemson, RNCS

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

1193801 Issued in VA

Practice address

602 Massachusetts Ave
Norfolk, VA 23508-2118

Phone

(757) 622-6673

Fax

(757) 622-6673

NPI assigned

Nov 28, 2007

Last updated

Mar 26, 2008By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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.

• M L Clemson Corporation

  • Adult Psychiatric/Mental Health Registered Nurse
  • Norfolk, VA
  • NPI 1033127188
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1750563086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MASSACHUSETTS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082118",
            "telephone_number": "757-622-6673",
            "fax_number": "757-622-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MASSACHUSETTS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082118",
            "telephone_number": "757-622-6673",
            "fax_number": "757-622-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMSON",
        "first_name": "MAR Y",
        "middle_name": "LOUISE",
        "credential": "RNCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "1193801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP",
            "identifier": "101867",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL",
            "identifier": "101868",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C08982",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00071810",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Christopher Cleaves, IDC
• Allison Cleland, AU.D.
• Cassandra Clement
• Lyndsey Marie Clements, CPNP
• Ahmad Rashad Clemmons, DNP, APRN, FNP-BC
• Lynn Cleversley, M.S
• Gregg R Clifford, MD
• Kristyn Marie Clifton, OD
• Joel M Clingenpeel, M.D.
• Clinical Associates of Tidewater, P.C.

• Psychiatric/Mental Health Registered Nurse in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Psychiatric/Mental Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.