Individual provider Active NPI

Shirley Clouse, MD

  • Family Medicine Physician
  • Kingston, NY
National Provider Identifier
1922048214
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
208517-1 Issued in NY
Practice address
35 Barbarossa LN
Kingston, NY 12401-1221
Phone
(845) 338-3737
Fax
(845) 338-3939
NPI assigned
Jun 7, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 208517-1 NY Primary

Addresses

Primary practice location

35 Barbarossa LN
Kingston, NY 12401-1221

Mailing address

35 Barbarossa LN
Kingston, NY 12401-1221
Phone (845) 338-3737

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
208517-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Healthresources of Rockland, Inc. Family Medicine PastSince Jul 17, 2022 Accepting new patients
Deleo Family Medicine P C Family Medicine Past Accepting new patients
Ulster Family Medicine, LLP Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3549/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922048214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BARBAROSSA LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011221",
            "telephone_number": "845-338-3737",
            "fax_number": "845-338-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BARBAROSSA LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011221",
            "telephone_number": "845-338-3737",
            "fax_number": "845-338-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "SHIRLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.