Individual provider Active NPI

Dona Lyn Clarin, FNP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1780632877
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
873273 Issued in MS
Practice address
2574 Frayser Blvd
Memphis, TN 38127-5829
Phone
(901) 515-5300
Fax
(901) 358-6908
NPI assigned
May 4, 2006
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 873273 MS Primary

Addresses

Primary practice location

2574 Frayser Blvd
Memphis, TN 38127-5829

Mailing address

51 North Dunlap St
Suite 335
Memphis, TN 38105-2807
Phone (901) 287-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, ME, AR, OK, NE, FL, AZ, KY8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20121130000027 MS Practitioner - Nurse Practitioner 8022033687 Reassigns benefits to 1 organization
I20230717000652 ME Practitioner - Nurse Practitioner 8022033687 Reassigns benefits to 1 organization
I20230912002089 AR Practitioner - Nurse Practitioner 8022033687 Reassigns benefits to 1 organization
I20231006000625 OK Practitioner - Nurse Practitioner 8022033687 Reassigns benefits to 1 organization
I20240216002771 NE Practitioner - Nurse Practitioner 8022033687 Reassigns benefits to 1 organization
I20240712001387 FL Practitioner - Nurse Practitioner 8022033687
I20240716000318 AZ Practitioner - Nurse Practitioner 8022033687 Reassigns benefits to 1 organization
I20260504007089 KY Practitioner - Nurse Practitioner 8022033687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5297MNMDProfessional Counselor
873273MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

6 City Ctr
Portland, ME 04101

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1780632877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NORTH DUNLAP ST",
            "address_2": "SUITE 335",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052807",
            "telephone_number": "901-287-5208",
            "fax_number": "901-515-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2574 FRAYSER BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275829",
            "telephone_number": "901-515-5300",
            "fax_number": "901-358-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARIN",
        "first_name": "DONA",
        "middle_name": "LYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "873273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.