Individual provider Active NPI

Clayton Himes, ACNP, FNP-C

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1982043493
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9418956 Issued in FL
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

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
177179TNMDRegistered Nurse
17258TNMDPharmacy Technician
ARNP9418956FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hospitalist Associates, PLLC CurrentSince Aug 1, 2013 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.