Individual provider Active NPI

Aubrey Clenna, CNP

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1811738719
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1215149 Issued in TX
Practice address
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone
(214) 266-0130
NPI assigned
Jun 4, 2024
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1215149 TX Primary

Addresses

Primary practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Mailing address

5626 Riverside Dr
Dallas, TX 75235-6107
Phone (216) 571-5931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240924003441 OH Practitioner - Nurse Practitioner 4284175761 Reassigns benefits to 1 organization
I20260120001629 TX Practitioner - Nurse Practitioner 4284175761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village of HealingGroup PAC ID 6901290212, 4 clinicians
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

11201 Shaker Blvd
Suite 230
Cleveland, OH 44104-3873
Phone (216) 815-4325

5151 Maple Ave
Dallas, TX 75235-8136
Phone (214) 266-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1215149TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Women's Health CurrentSince Dec 14, 2025 Accepting new patients
Village of Healing CurrentSince Jun 24, 2024 Accepting new patients
Dallas County Hospital District Women's Health CurrentSince Dec 14, 2025 Accepting new patients

Locations

11201 Shaker Blvd
Ste 230
Cleveland, OH 44104
Phone (216) 815-4325

22344 Lake Shore Blvd
Euclid, OH 44123
Phone (216) 512-9533

5151 Maple Ave
#6A
Dallas, TX 75235
Phone (214) 266-0130

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22514/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1811738719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 RIVERSIDE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356107",
            "telephone_number": "216-571-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357709",
            "telephone_number": "214-266-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENNA",
        "first_name": "AUBREY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1215149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.