Angelea Michele Clarida, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

319822 Issued in TX

Practice address

5803 112TH St
Lubbock, TX 79424-3891

Phone

(806) 470-6644

NPI assigned

May 14, 2019

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

Other names 1

• Angelea Michele Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1881250900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 112TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243891",
            "telephone_number": "806-470-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 112TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243891",
            "telephone_number": "806-470-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARIDA",
        "first_name": "ANGELEA",
        "middle_name": "MICHELE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "319822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELEA",
            "last_name": "DAVIS",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City View Medical Staffing
• Kayla Janae Clabaugh, LVN
• Taylor Breanne Clair
• Chase Clanton
• Landry David Clapp, DDS
• Alicia Clark, MDT
• Calvin Clark, RN, MSN, ACNP-BC
• Courtney Shay Clark, PTA
• Justin Wayne Clark, MD
• Nathan R Clark, MD

• Licensed Vocational Nurse in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.