Active NPI
Clayton Himes, ACNP, FNP-C
- Family Nurse Practitioner
- Brentwood, TN
National Provider Identifier
1982043493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9418956
- Practice address
- 210 Westwood PL Ste 110
Brentwood, TN 37027-7554 - Phone
- (615) 206-2462
- Fax
- (833) 983-2043
- NPI assigned
- Jun 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 177179 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | 17258 | TN | |
| Family Nurse Practitioner | 363LF0000X | ARNP9418956 | FL | Primary |
Addresses
Primary practice location
210 Westwood PL Ste 110
Brentwood, TN 37027-7554
Mailing address
5513 Saint Elmo Ave
Chattanooga, TN 37409-2312
Phone (615) 400-5959
Other names 1
- Clay Himes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177179 | TN | MD | Registered Nurse |
| 17258 | TN | MD | Pharmacy Technician |
| ARNP9418956 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Hospitalist Associates, PLLC | Current | Accepting new patients |
Locations
355 New Shackle Island Rd
Fl 3
Hendersonvlle, TN 37075
Phone (615) 822-2214
102 Wessington Pl
Hendersonvlle, TN 37075
Phone (615) 418-2916
Interoperability endpoints
- chimes@landmarkhealth-direct.org
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.
-
- Hospitalist Physician
- Hendersonville, TN
- NPI 1912242108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1982043493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5513 SAINT ELMO AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374092312",
"telephone_number": "615-400-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WESTWOOD PL STE 110",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277554",
"telephone_number": "615-206-2462",
"fax_number": "833-983-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMES",
"first_name": "CLAYTON",
"name_prefix": "Mr.",
"credential": "ACNP, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-18",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "177179",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "17258",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9418956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAY",
"last_name": "HIMES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.