Tiffany Gayla Clendening, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP139914 Issued in TX

Practice address

410 N 4TH St
Longview, TX 75601-6511

Phone

(903) 234-8808

Fax

(903) 212-7899

NPI assigned

Dec 4, 2018

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Turnwell Mental Health of South Texas, PLLCGroup PAC ID 0547780413, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Turnwell Mental Health of South Texas, PLLC

  dba South Texas Mental Health Associates

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1043027725
  Medicare reassignment Care Compare group NPD
• South Texas Mental Health Associates, PA

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1043658941
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1942770714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "MT ENTERPRISE",
            "state": "TX",
            "postal_code": "756810489",
            "telephone_number": "903-392-8203",
            "fax_number": "866-835-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016511",
            "telephone_number": "903-234-8808",
            "fax_number": "903-212-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 US Highway 259 S",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TX",
            "postal_code": "75654",
            "country_code": "US",
            "telephone_number": "903-392-8203",
            "fax_number": "866-835-6516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLENDENING",
        "first_name": "TIFFANY",
        "middle_name": "GAYLA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy K Clark, CRNA
• Brandi Richele Clark, LPC, CRC
• Laine Anderson Claxton, APRN
• Brenda Cleary, LCDC
• Karin Clements, LCSW
• Mark Clifton
• Clinnard LLC
• Clinton Ray Brunson, MD PA
• Angela Clipperton, RN
• George H Cloud Jr., DDS

• Psychiatric/Mental Health Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.