Active NPI
Mary Joy Clayton, ARNP
- Family Nurse Practitioner
- Aberdeen, WA
National Provider Identifier
1770671570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30001451
- Practice address
- 1006 N H St FL 3
Aberdeen, WA 98520-2521 - Phone
- (360) 537-6300
- Fax
- (360) 537-6301
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30001451 | WA | Primary |
Addresses
Primary practice location
1006 N H St FL 3
Aberdeen, WA 98520-2521
Mailing address
PO Box 1898
Aberdeen, WA 98520-0315
Phone (360) 637-9263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9631003 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1770671570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1898",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985200315",
"telephone_number": "360-637-9263",
"fax_number": "360-637-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N H ST FL 3",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202521",
"telephone_number": "360-537-6300",
"fax_number": "360-537-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "MARY",
"middle_name": "JOY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30001451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9631003",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.