Tristan Clanton, RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

284716 Issued in NY

Practice address

1541 Charter Dr
Rocky Mount, NC 27801-3544

Phone

(252) 621-0646

NPI assigned

Aug 16, 2012

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1821346172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TRINITY DR",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278567860",
            "telephone_number": "252-621-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 CHARTER DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278013544",
            "telephone_number": "252-621-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANTON",
        "first_name": "TRISTAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "284716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasheika Christie-Gibson, PHARMD
• Qingqing Chui
• Susan L Church, MD
• Circle of Life Home Care Inc.
• Citizens Choice
• Claire Bricely Clark, AGNP-C
• Steven Alan Clark, DC
• Traci D Clark, DC
• Cindy Creekmore Clayton, R.N., F.N.P.
• Clearpath Credit LLC (ClearPath Private Transportation Services)

• Licensed Practical Nurse in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.