Vanisha McClamy, CRNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP031149 Issued in PA

Practice address

4430 Main St FL 2
Philadelphia, PA 19127-1312

Phone

(215) 964-3035

NPI assigned

Nov 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Vanisha Rivera Other name

Medicare fee-for-service enrollment

Enrolled in PA

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, 2024

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• HC Pennsylvania P.C.

  • Multi-Specialty Clinic/Center
  • Lakewood, NJ
  • NPI 1508754227

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1962225664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 12TH ST APT 716",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071224",
            "telephone_number": "267-987-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MAIN ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271312",
            "telephone_number": "215-964-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N 12th St Apt 716",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071224",
            "country_code": "US",
            "telephone_number": "267-987-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Freedom Bus Ctr Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061331",
            "country_code": "US",
            "telephone_number": "610-285-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAMY",
        "first_name": "VANISHA",
        "credential": "CRNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN715164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANISHA",
            "last_name": "RIVERA",
            "credential": "CRNP, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lee Walter McChesney, D.O.
• Jonathan McClain
• Taleah Yvonne McClain, CRNP
• Zachary McClain, M.D.
• Christina Nenon McClam, MD
• Amy McClarnon, CRNP
• Keely McClatchy, MSN, CPNP-PC
• Marie Schroeder McClay, CRNP
• Carla Patrice McCleary
• Roseanna McCleary, MSW, PHD, LCSW, ACSW

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.