Amy Jane Clemens, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

027 Issued in WY

Practice address

120 W Pearl Ave
Jackson, WY 83001-8657

Phone

(307) 699-7480

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1770985202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13832",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830023832",
            "telephone_number": "307-200-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PEARL AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018657",
            "telephone_number": "307-699-7480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103103032",
            "country_code": "US",
            "telephone_number": "716-713-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "AMY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005403-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WY",
            "license": "027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Christensen, PEER SPECIALIST
• Virginia N Christensen, PT, DSC, OCS
• Christina Kitchen PC
• Lara Cilo, M.S., CF-SLP
• Kellie Clay
• Rebecca E. Cloetta, D.D.S.
• Afton Chavez Cobb, MD
• Maggie Ann Cochran
• Charleigh Elizabeth Cole, MSW
• Sadie H Cole, PH.D.

• Acupuncturist in Jackson, WY
• Providers in Jackson, WY by specialty
• Acupuncturist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.