KRISTY CLEMONS (NPI# 1134749898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134749898 |
| Entity Type | Individual |
| Full Name | KRISTY CLEMONS |
| Credential | FNP-BC |
| Practice Address |
2102 Broad St San Luis Obispo CA 93401-5205 |
| Practice Telephone | 8059757007 |
| Mailing Telephone | 8059757007 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014412 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2102 BROAD ST |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593850 | Emerald Mcleod | Nurse Practitioner | 1242 Monterey St Ste 130, San Luis Obispo, CA 93401-0808 | 2019-05-18 |
| 1932632957 | Janna Tyler | Nurse Practitioner | 1030 Southwood Dr, San Luis Obispo, CA 93401-5813 | 2017-04-06 |
| 1346621547 | Katherine Silva | Nurse Practitioner | 825 El Capitan Way, Apt 24, San Luis Obispo, CA 93401-8944 | 2015-06-12 |
| 1275739245 | Nancy J Walden | Nurse Practitioner | Cal Poly State Health Center, 1 Grand Ave Building 27, San Luis Obispo, CA 93407-0210 | 2007-06-26 |
| 1164415501 | Marya Mei Bolyanatz | Nurse Practitioner | 1250 Peach Street, Suite A, San Luis Obispo, CA 93401-2837 | 2005-08-30 |
| 1013541895 | Michele L Day-brooks | Nurse Practitioner | 705 Grand Ave, San Luis Obispo, CA 93401-2639 | 2020-03-02 |
| 1528690278 | Erin E Green | Nurse Practitioner | 1531 Higuera St, San Luis Obispo, CA 93401-2917 | 2020-02-11 |
| 1912546045 | Cynthia Schenk | Nurse Practitioner | 1585 Kansas Ave, San Luis Obispo, CA 93405-7604 | 2020-01-06 |
| 1942761945 | James Sellers | Nurse Practitioner | 1304 Ella St Ste A, San Luis Obispo, CA 93401-4165 | 2019-03-31 |
| 1114488830 | Kelli Maureen Compean | Nurse Practitioner | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2019-03-26 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on KRISTY CLEMONS.
| 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.