Individual provider Active NPI

Elizabeth McClure, PPCNPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Clairsville, OH
National Provider Identifier
1952467342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
06505RX Issued in OH
Practice address
157 E Lawn Ave
Saint Clairsville, OH 43950-9155
Phone
(740) 695-4026
Fax
(740) 695-4025
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 06505RX OH Primary

Addresses

Primary practice location

157 E Lawn Ave
Saint Clairsville, OH 43950-9155

Mailing address

157 E Lawn Ave
Saint Clairsville, OH 43950-9155
Phone (740) 695-4026

Other identifiers 1

IdentifierTypeStateIssuer
2290962MedicaidOH

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
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24512WVMDEndocrinology, Diabetes & Metabolism Physician
06505RXOHMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952467342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E LAWN AVE",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509155",
            "telephone_number": "740-695-4026",
            "fax_number": "740-695-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E LAWN AVE",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509155",
            "telephone_number": "740-695-4026",
            "fax_number": "740-695-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PPCNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "06505RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2290962",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.