Tricilica Clewis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

367 Las Colinas Blvd E Apt 254
Irving, TX 75039-6270

Phone

(469) 586-7643

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Minds of Gold

  • Psychiatry Physician
  • Irvin, TX
  • NPI 1336855113

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1851078315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 LAS COLINAS BLVD E APT 254",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750396270",
            "telephone_number": "469-586-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 LAS COLINAS BLVD E APT 254",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750396270",
            "telephone_number": "469-586-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEWIS",
        "first_name": "TRICILICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Lake Memory Care, LLC (Autumn Leaves of Clear Lake)
• Clearview Diagnostics LLC
• Clearvue Imaging Dallas, LLC
• Hanah Cleary, PT, DPT
• Mary Clemens, DC
• Chelsea Apree Clicque, LP
• Edward J Clifford, M.D.
• Susan Clifford, M.D.
• Clinic for Pain Management (Center For Pain Relief)
• Clinica Bienestar Familiar LLC

• Case Manager/Care Coordinator in Irving, TX
• Providers in Irving, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.