Individual provider Active NPI

Janee Clay, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1851811699
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP09380 Issued in LA
Practice address
711 Horseshoe Blvd
Bossier City, LA 71111-4472
Phone
(318) 741-7894
Fax
(318) 702-8032
NPI assigned
Jun 22, 2017
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP09380 LA Primary

Addresses

Primary practice location

711 Horseshoe Blvd
Bossier City, LA 71111-4472

Mailing address

711 Horseshoe Blvd
Bossier City, LA 71111-4472
Phone (318) 741-7894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20171011001422 LA Practitioner - Nurse Practitioner 2769757145 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09380LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Shreveport LLC Nurse Practitioner CurrentSince Oct 1, 2018 Accepting new patients
Premise Health of Louisiana Professional Medical Corporation CurrentSince Sep 24, 2023 Accepting new patients
Connecticut General Life Insurance Company (Cglic) PastSince Sep 24, 2023 Accepting new patients

Locations

711 Horseshoe Blvd
Bossier City, LA 71111
Phone (318) 741-7894

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

Organizations & group practices 3

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1851811699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 HORSESHOE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114472",
            "telephone_number": "318-741-7894",
            "fax_number": "318-702-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HORSESHOE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114472",
            "telephone_number": "318-741-7894",
            "fax_number": "318-702-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "JANEE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.