Deborah L Clay

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11011440 Issued in FL

Practice address

10627 Lake Montauk Dr
Riverview, FL 33578-9510

Phone

(813) 492-0970

NPI assigned

Nov 28, 2021

Last updated

Nov 28, 2021By 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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.clayfnp.p82@direct.mednax.nextgenshare.com

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.

• Pediatrix Medical Group of Florida Inc

  • Pediatric Cardiology Physician
  • Sunrise, FL
  • NPI 1083711790
  Medicare reassignment NPD
• DRS Angel Morales Kalter Ramos-Santos Fontenot MDS PA

  dba Florida Perinatal Associates

  • Maternal & Fetal Medicine Physician
  • Tampa, FL
  • NPI 1942231402
  NPD (past)

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1811654650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10627 LAKE MONTAUK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335789510",
            "telephone_number": "813-492-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10627 LAKE MONTAUK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335789510",
            "telephone_number": "813-492-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "11011440",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "10627 Lake Montauk Dr",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335789510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaylin Clark
• Lorena K. C. Clark, ARNP-C
• Yvonne Joan Clarke, ARNP
• Carol Ann Clarkson, LDO
• Madeline Danielle Clausell
• Rayna Ann Clay, M.D.
• Cashauna Cleckner
• Erlin Clement Jr., RPH
• Gabriella R Clementel, RBT
• Cheryl Cleveland, PTA

• Family Nurse Practitioner in Riverview, FL
• Providers in Riverview, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.