Kirstie Marie Clemente

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

93 Epworth St
Worcester, MA 01610-3009

Phone

(774) 262-7879

NPI assigned

Dec 1, 2010

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

Other names 1

• Kirstie Marie Tarr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1902108616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 EPWORTH ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016103009",
            "telephone_number": "774-262-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 EPWORTH ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016103009",
            "telephone_number": "774-262-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "KIRSTIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIE",
            "last_name": "TARR",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Cleary, SLP
• Laura Cleary, PA-C
• Muriel Aya Cleary, M.D.
• Tarrah Clemence, R.N.
• Bethany Jean Clement, CRNA
• Carryne Clements
• Gayle Clemons, NP
• Samentha Clenord
• William Thomas Cleveland, B.S.
• Clifford J Audette DDS PC

• Community/Behavioral Health Agency in Worcester, MA
• Providers in Worcester, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.