Active NPI
Eileen Marie Clayton, RN
- Registered Nurse
- Somers, NY
National Provider Identifier
1861963274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 3508101
- Practice address
- 19 Londonderry LN
Somers, NY 10589-2902 - Phone
- (914) 552-4445
- NPI assigned
- Dec 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3508101 | NY | MD | Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3508101 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
19 Londonderry LN
Somers, NY 10589-2902
Mailing address
19 Londonderry LN
Somers, NY 10589-2902
Phone (914) 552-4445
Other names 1
NPPES NPI Registry- Eileen Marie Mattes
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2018.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1861963274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LONDONDERRY LN",
"city": "SOMERS",
"state": "NY",
"postal_code": "105892902",
"telephone_number": "914-552-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 LONDONDERRY LN",
"city": "SOMERS",
"state": "NY",
"postal_code": "105892902",
"telephone_number": "914-552-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "EILEEN",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "3508101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EILEEN",
"last_name": "MATTES",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Somers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.