SCOTT JEFFREY CLEMONS (NPI# 1053823047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053823047 |
| Entity Type | Individual |
| Full Name | SCOTT JEFFREY CLEMONS |
| Credential | NP-C |
| Practice Address |
616 6th St Bremerton WA 98337-1420 |
| Mailing Address |
Po Box 960 Bremerton WA 98337-0212 |
| Practice Telephone | 3603773776 |
| Mailing Telephone | 3603773776 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60799444 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478275 | Scott Bryan Clemons | Dentist | 1950 Lower Muscatine Rd, Iowa City, IA 52240-3108 | 2007-02-27 |
| Street Address |
616 6TH ST |
| City | BREMERTON |
| State | WA |
| Zip Code | 98337-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483109 | Arthur Douglas Felts | Family Medicine | 616 6th St, Bremerton, WA 98337-1420 | 2005-11-04 |
| 1255952701 | Emily Grace Conway | Nurse Practitioner | 616 6th St, Bremerton, WA 98337-1420 | 2020-05-06 |
| 1457990509 | Peninsula Community Health Services | Clinic/Center | 616 6th St, Bremerton, WA 98337-1420 | 2020-01-06 |
| 1629628649 | William Tatlonghari | Student in an Organized Health Care Education/Training Program | 616 6th St, Bremerton, WA 98337-1420 | 2019-09-12 |
| 1891257747 | Andrew Charles Lane | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2019-04-01 |
| 1992278030 | Peninsula Community Health Services | Clinic/Center | 616 6th St, Bremerton, WA 98337-1420 | 2019-01-10 |
| 1083187124 | Peninsula Community Health Services | Family Medicine | 616 6th St, Bremerton, WA 98337-1420 | 2019-01-10 |
| 1891235388 | Edwin Gi Lim Kim | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2017-03-02 |
| 1205376977 | Peninsula Community Health Services | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2017-03-01 |
| 1346792108 | Ann Ms Jones | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2016-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379563 | Paul Hastings | Physician Assistant | Peninsula Community Health Services, 400 Warren Ave, Suite 200, Bremerton, WA 98337 | 2019-01-07 |
| 1083199285 | Jacob Lawrence Barnes | Behavioral Analyst | 1709 13th St, Bremerton, WA 98337 | 2018-10-03 |
| 1295254092 | James Richard Mccormack | Counselor | 851 6th St Ste 135, Kitsap Hypnosis Center LLC, Bremerton, WA 98337 | 2017-09-12 |
| 1629593728 | Tina Mae Davis-munn | Registered Nurse | 345 6th St, Suite 300, Bremerton, WA 98337 | 2017-08-09 |
| 1962927384 | Linda Louise Tourigny | Registered Nurse | 345 6th St Suite 300, Bremerton, WA 98337 | 2017-08-07 |
| 1417480609 | Diane Marie Sabo | Counselor | 843 6th Street, Suite 220 and 240, Bremerton, WA 98337 | 2017-04-05 |
| 1659792265 | Allan L Hablutzel | Dentist | 820 Pacific Ave., Suite 204, Bremerton, WA 98337 | 2013-12-27 |
| 1881979722 | Sidestix Ventures Usa | Durable Medical Equipment & Medical Supplies | 410 Ida St. West, Ste 201, Bremerton, WA 98337 | 2011-10-11 |
| 1346545829 | Doyle & Associates Chiropractic Clinic Inc Ps | Chiropractor | 603 Chester Avenue, Bremerton, WA 98337 | 2011-01-14 |
| 1285762856 | Tracee Arlene Costa | Massage Therapist | 911 Adele Rd., Bremerton, WA 98337 | 2007-03-02 |
| Find all providers in zip 98337 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952701 | Emily Grace Conway | Nurse Practitioner | 616 6th St, Bremerton, WA 98337-1420 | 2020-05-06 |
| 1750927471 | Courtney Grace Vinyard | Nurse Practitioner | 812 Cherry Ct, Bremerton, WA 98310 | 2019-11-19 |
| 1144873969 | Loan Van | Nurse Practitioner | 4207 Kitsap Way, Bremerton, WA 98312-2447 | 2019-07-21 |
| 1952866170 | Reyne Lee-arbuckle Yamane | Nurse Practitioner | 400 Warren Ave, Bremerton, WA 98337-1487 | 2019-02-01 |
| 1275001612 | Aljade R Rosario | Nurse Practitioner | 1225 Campbell Way Ste 101, Bremerton, WA 98310 | 2018-11-04 |
| 1790263366 | Hannah Whitney Bishop | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2018-08-05 |
| 1417447830 | Kristen Sara Sylvester | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2018-05-10 |
| 1033645049 | Donna Rachael Horton | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2017-05-11 |
| 1346693603 | David John Mcintire | Nurse Practitioner | 1 Boone Rd, Bremerton, WA 98312-1894 | 2016-07-21 |
| 1245683705 | Lauren Menard | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2016-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.