Active NPI
Beverly Lynn Clayton, NURSE PRACTITIONER
- Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1972831378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11218
- Practice address
- 2638 Hemlock St
Cincinnati, OH 45206-1608 - Phone
- (513) 256-7170
- Fax
- (513) 227-0114
- NPI assigned
- Nov 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 207605 | OH | |
| Nurse Practitioner | 363L00000X | 11218 | OH | Primary |
Addresses
Primary practice location
2638 Hemlock St
Cincinnati, OH 45206-1608
Mailing address
619 Oak St
Cincinnati, OH 45206-1608
Phone (513) 569-6555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11218 | OH | MD | Nurse Practitioner |
| 207605 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surestep Foot & Ankle Medical Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Cincinnati, OH
- NPI 1811201908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1972831378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 OAK ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061608",
"telephone_number": "513-569-6555",
"fax_number": "513-624-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2638 HEMLOCK ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061608",
"telephone_number": "513-256-7170",
"fax_number": "513-227-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "BEVERLY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-23",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "207605",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "11218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.