Active NPI
Annette Ann McClendon, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
National Provider Identifier
1760679179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP30007893
- Practice address
- 1030 N Center Pkwy Ste 316
Kennewick, WA 99336-7160 - Phone
- (509) 735-5052
- Fax
- (509) 222-2223
- NPI assigned
- Sep 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30007893 | WA | Primary |
| Nurse Practitioner | 363L00000X | AP30007893 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30007893 | WA | |
| Pediatric Nurse Practitioner | 363LP0200X | AP30007893 | WA |
Addresses
Primary practice location
1030 N Center Pkwy Ste 316
Kennewick, WA 99336-7160
Mailing address
1030 N Center Pkwy Ste 316
Kennewick, WA 99336-7160
Phone (509) 735-5052
Other names 1
- Mrs. Annette Ann McClendon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Mcclendonmedicalmanager@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007893 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Hospital LLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1760679179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 N CENTER PKWY STE 316",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367160",
"telephone_number": "509-735-5052",
"fax_number": "509-222-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N CENTER PKWY STE 316",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367160",
"telephone_number": "509-735-5052",
"fax_number": "509-222-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENDON",
"first_name": "ANNETTE",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-29",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30007893",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007893",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007893",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP30007893",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Mcclendonmedicalmanager@gmail.com",
"affiliation": "N",
"endpointDescription": "McClendon Medical, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1030 N Center Pkwy Ste 316",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993367160",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "MCCLENDON",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.