Active NPI
Clayton Womack, CPNP-AC
- Critical Care Pediatric Nurse Practitioner
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- 323647
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 773-2112
- NPI assigned
- Oct 13, 2015
- Last updated
- Jun 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP129134 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP129134 | TX | |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 323647 | AZ | Primary |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0333
Other practice location 1
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5956
Other practice location 2
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Cook Children's Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Texas PLLC | Nurse Practitioner | Current | Accepting new patients |
| Cook Children's Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients |
Locations
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000
4002 24th St
Lubbock, TX 79410
Phone (806) 725-0000
4102 24th St
Ste 201
Lubbock, TX 79410
Phone (806) 725-4676
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Interoperability endpoints
- clayton.womack@direct.myhealthep.org
Organizations & group practices 9
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1518475557
Nurse Practitioner
-
dba TTUHSC/Anatomical Pathology
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
dba Ttuhsc - DME
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Pediatrics Physician
- Lubbock, TX
- NPI 1972552263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1912378118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 CITY BANK PKWY STE 35",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073545",
"telephone_number": "806-761-0333",
"fax_number": "806-782-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-773-2112"
}
],
"practiceLocations": [
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-5956",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "602 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794153364",
"country_code": "US",
"telephone_number": "806-775-8828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOMACK",
"first_name": "CLAYTON",
"credential": "CPNP-AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP129134",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP129134",
"primary": false
},
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "AZ",
"license": "323647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
- Nicole J Wolf, PHD, LP
- Sandra Lynn Wolfe, D.C.
- Summer Wolfe, DNP, APRN, PMHNP-BC
- Kalie Wolfinger
- Karen Anne Wolfson, PHARM.D.
- Womancare Birth & Breastfeeding Center LLC
- Womancare Midwifery Associates (Womancare Midwifery Center)
- Women Clinic of Northern Arizona
- Judith Ming-Hai Wong, M.D., M.P.H.
- Phillip John Wong, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.