Emily Clemens, RN

Key facts

NPI

1821875634

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Registered Nurse 163WA0400X

License

RN712955 (PA)

Practice address

235 W Lancaster Ave
Devon, PA 19333-1560

Phone

(877) 690-3079

NPI assigned

Sep 14, 2023

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 14, 2023.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1821875634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331560",
            "telephone_number": "877-690-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331560",
            "telephone_number": "877-690-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "EMILY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "RN712955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devon, PA

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• Maureen Michele Colket, M.A. CCC/SLP
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• Paul Cosgrove, BSN, RN

All providers in Devon, PA · Addiction (Substance Use Disorder) Registered Nurse in Pennsylvania