Ellen Wicker Clayton, MED

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

813 Nixon St
Wilmington, NC 28401-2963

Phone

(910) 251-6150

Fax

(910) 251-6055

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By the provider in NPPES

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

Credentials

Master of Education

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1972730810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 NIXON ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284012963",
            "telephone_number": "910-251-6150",
            "fax_number": "910-251-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 NIXON ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284012963",
            "telephone_number": "910-251-6150",
            "fax_number": "910-251-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "ELLEN",
        "middle_name": "WICKER",
        "name_prefix": "Ms.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Contractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.