Amy Dawn Clementz

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LPN.142189.MEDS-IV Issued in OH

Practice address

600 Sterling Dr
North Baltimore, OH 45872-9508

Phone

(419) 257-2421

NPI assigned

Feb 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1932854304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 KUNKLER RD",
            "city": "BLOOMDALE",
            "state": "OH",
            "postal_code": "448179710",
            "telephone_number": "567-208-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STERLING DR",
            "city": "NORTH BALTIMORE",
            "state": "OH",
            "postal_code": "458729508",
            "telephone_number": "419-257-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTZ",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "LPN.142189.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Helen Barclay
• Susan Louise Best, RPH
• Blakely Care Center Inc
• Aimee Lynn Blankenship, CDCA
• Ava Camille Christy, SLP
• John T Coates, DO
• William Davis
• Julie Louise Dumont
• Angela Renee Duncan
• Adrian Ewald, OTD, OTR/L

• Skilled Nursing Facility in North Baltimore, OH
• Providers in North Baltimore, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.