Dwight Raymond Clemans, RN. FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

623027 Issued in TX

Practice address

402 S Bolivar St
Marshall, TX 75670-4110

Phone

(903) 935-9100

Fax

(903) 935-9102

NPI assigned

Dec 5, 2006

Last updated

Feb 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1891853685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 FM 9 S",
            "city": "WASKOM",
            "state": "TX",
            "postal_code": "756926428",
            "telephone_number": "903-633-2405",
            "fax_number": "903-935-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S BOLIVAR ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704110",
            "telephone_number": "903-935-9100",
            "fax_number": "903-935-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMANS",
        "first_name": "DWIGHT",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "RN. FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "623027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00W843",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choices Adolescent Treatment Ctr
• Christus Good Shepherd Medical Center (Christus Good Shepherd Medical Center - Marshall)
• Christus Good Shepherd Medical Center
• City of Marshall (Marshall/Harrison County Ambulance Service)
• Edna Clark, LPC
• Cody Whiddon Inc.
• Jayme Cole, COTA
• David Collins
• Community Adult Day Activity & Health Center (CADAHC Inc.)
• Jamie Kathleen Conley, C.PH.T.

• Family Nurse Practitioner in Marshall, TX
• Providers in Marshall, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.