LEMETRICE DEWAND MCCLENDON (NPI# 1093223638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093223638 |
| Entity Type | Individual |
| Full Name | LEMETRICE DEWAND MCCLENDON |
| Credential | NP-C OR APRN |
| Practice Address |
15901 Bass Rd Ste 108 Fort Myers FL 33908-3838 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393436050 |
| Mailing Telephone | 2393436050 |
| Mailing Fax Number | 2393436051 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9245837 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364S00000X | Clinical Nurse Specialist | APRN9245837 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 023714800 | 05 |
| Street Address |
15901 BASS RD STE 108 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497847529 | Elena Zerpa Stolk | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2006-09-28 |
| 1790339786 | Lashunda F Watkins | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2019-07-29 |
| 1750942744 | Numra Yaqub | Counselor | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2019-06-21 |
| 1386102275 | Jennifer Massip | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2019-03-09 |
| 1093291833 | Nancy J Stetter | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2018-07-16 |
| 1366966335 | Siddika Saara Mulchan | Psychologist | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2017-08-01 |
| 1275914111 | Diego Fernando Gomez | Counselor | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2015-06-16 |
| 1104211630 | Sophia French | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2015-04-01 |
| 1215330832 | Kaleesha Bent | Marriage & Family Therapist | 15901 Bass Rd Ste 108, Fort Myers, FL 33908 | 2014-09-28 |
| 1518384007 | Colleen Martens | Social Worker | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851497218 | Mary Hoke | Clinical Nurse Specialist | 13601 Plantation Rd, Fort Myers, FL 33912-4437 | 2006-09-15 |
| 1407851819 | Tammy L Mccarty | Clinical Nurse Specialist | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2005-06-14 |
| 1457904336 | Roberta Joyce Marino | Clinical Nurse Specialist | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813 | 2019-07-19 |
| 1730668765 | Gregg Scott Macdonald | Clinical Nurse Specialist | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2018-08-10 |
| 1891284469 | Tiffany Hendrickson | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2018-05-09 |
| 1972003499 | San Wong | Clinical Nurse Specialist | 2780 Cleveland Ave Ste 819, Fort Myers, FL 33901 | 2018-02-21 |
| 1215448162 | Jessica Noelle Teston | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2017-10-18 |
| 1962928994 | Miguel Angel Gonzalez | Clinical Nurse Specialist | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | 2017-08-22 |
| 1922534338 | Francesca Passalacqua | Clinical Nurse Specialist | 16281 Bass Rd, Suite 304, Fort Myers, FL 33908-9687 | 2017-05-04 |
| 1790140937 | David Bryan Gierut | Clinical Nurse Specialist | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966-4818 | 2015-12-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on LEMETRICE DEWAND MCCLENDON.
| 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.