Active NPI
Mironda Clements
- Nursing Care Agency
- Euclid, OH
National Provider Identifier
1922280353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- PN-126116 IV
- Legal business name
- MIRONDA CLEMENTS
- Practice address
- 22709 Lake Shore Blvd
246C
Euclid, OH 44123-1359 - Phone
- (216) 780-6795
- NPI assigned
- Nov 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mironda A. Clements
- Title
- Licensed Practical Nurse
- Phone
- (216) 780-6795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | PN-126116 IV | OH | Primary |
Addresses
Primary practice location
22709 Lake Shore Blvd
246C
Euclid, OH 44123-1359
Mailing address
22709 Lake Shore Blvd
246C
Euclid, OH 44123-1359
Phone (216) 780-6795
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197158400000",
"number": "1922280353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22709 LAKE SHORE BLVD",
"address_2": "246C",
"city": "EUCLID",
"state": "OH",
"postal_code": "441231359",
"telephone_number": "216-780-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22709 LAKE SHORE BLVD",
"address_2": "246C",
"city": "EUCLID",
"state": "OH",
"postal_code": "441231359",
"telephone_number": "216-780-6795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRONDA CLEMENTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2007-12-09",
"status": "A",
"authorized_official_last_name": "CLEMENTS",
"authorized_official_first_name": "MIRONDA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
"authorized_official_telephone_number": "216-780-6795"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "OH",
"license": "PN-126116 IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.