Individual provider Active NPI

Clover Springer, RN

  • Family Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1962802272
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R172743 Issued in MD
Practice address
9009 Woodyard Rd
Ste 101
Clinton, MD 20735-4268
Phone
(301) 877-7700
Fax
(301) 877-7701
NPI assigned
Aug 25, 2014
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R172743 MD Primary

Addresses

Primary practice location

9009 Woodyard Rd
Ste 101
Clinton, MD 20735-4268

Mailing address

9009 Woodyard Rd
Ste 101
Clinton, MD 20735-4268
Phone (301) 877-7700

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R172743MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Medical and Urgent Care LLC CurrentSince Jan 26, 2020 Accepting new patients

Locations

9009 Woodyard Rd
Ste 101
Clinton, MD 20735
Phone (301) 808-0927

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1962802272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 WOODYARD RD",
            "address_2": "STE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354268",
            "telephone_number": "301-877-7700",
            "fax_number": "301-877-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 WOODYARD RD",
            "address_2": "STE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354268",
            "telephone_number": "301-877-7700",
            "fax_number": "301-877-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "CLOVER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R172743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.