JOELLE TARA CLEMMER (NPI# 1376774505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376774505 |
| Entity Type | Individual |
| Full Name | JOELLE TARA CLEMMER |
| Credential | RN |
| Practice Address |
550 Pope Ave Munson Army Health Clinic (attn: Mcxn-cod, Ms Cotton Fort Leavenworth KS 66027-2332 |
| Mailing Address |
206 Swift St Fort Leavenworth KS 66027-1112 |
| Practice Telephone | 9136846208 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
00126735 | WA | Nursing Service Providers |
| Street Address |
550 POPE AVE MUNSON ARMY HEALTH CLINIC (ATTN: MCXN-COD, MS COTTON |
| City | FORT LEAVENWORTH |
| State | KS |
| Zip Code | 66027-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449316 | Jerry Lee Green Jr. | Nurse Practitioner | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2005-07-06 |
| 1780283531 | Nicole Hazelton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-22 |
| 1437758687 | Drusilla Cox | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-20 |
| 1780216606 | Robin Michelle Collie | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-02-08 |
| 1285083162 | Courtney Spongberg | Physical Therapist | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2016-06-10 |
| 1992107627 | Munson Army Health Center | Clinic/Center | 550 Pope Ave, Bldg 343, Room 1a146, Fort Leavenworth, KS 66027-2332 | 2014-09-25 |
| 1609278118 | Denise Dennell Hinton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2014-09-16 |
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| 1588928758 | Susana Suyapa Guerrero | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-07-02 |
| 1194096271 | Jennifer Marlene Diggs | Licensed Practical Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801019 | Sarah M. Galloway | Counselor | 32 Pick Ave, Fort Leavenworth, KS 66027 | 2012-05-01 |
| 1659566750 | Dong S Lee | Dentist | Us Army Dental Health Activity, 520 Pope Avenue, Fort Leavenworth, KS 66027 | 2007-09-11 |
| 1942354998 | Shaun Lydell Kanion | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
| 1063594158 | Ellen Henley Galloway | Psychologist | 1301 North Warehouse Rd, Usdb-dtp, Ft Leavenworth, KS 66027 | 2006-10-19 |
| 1083666770 | Mary Shancy Francis | Family Medicine | Munson Army Health Center 550 Pope Ave, Leavenworth, KS 66027 | 2006-05-17 |
| 1053601724 | Forest Tu Pavel | Counselor | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027 | 2011-04-14 |
| 1629242797 | Willy Clarkson Cornett | Registered Nurse | 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, KS 66027 | 2008-04-18 |
| 1356495394 | Kevin Michael Madjarac | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1548468465 | Sara Anne Dame | Licensed Practical Nurse | 505 Pope, Ft. Leavenworth, KS 66027-0000 | 2007-07-03 |
| Find all providers in zip 66027 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283531 | Nicole Hazelton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-22 |
| 1437758687 | Drusilla Cox | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-20 |
| 1871744821 | Tessa Samson Baptista | Registered Nurse | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2008-10-08 |
| 1528140969 | Raymond Paul Jones | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2006-10-19 |
| 1548246234 | Rhonda Marie Cusano | Registered Nurse | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027 | 2005-12-15 |
| 1730160482 | Debra Lakin | Registered Nurse | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2005-11-09 |
| 1437130192 | Martha Sepulvado | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2005-11-09 |
| 1184605909 | Sylvia Cena Arvizu | Registered Nurse | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230148 | Modrn Health | Registered Nurse | 7400 W 130th St Ste 100, Overland Park, KS 66213-2673 | 2020-06-24 |
| 1023382215 | Toby Edward Leavendusky | Registered Nurse | 16809 R Rd, Mayetta, KS 66509-8954 | 2012-03-06 |
| 1356668685 | Alissa Renee Minger | Registered Nurse | 4007 Nw Fielding Ter, Topeka, KS 66618-2674 | 2010-04-27 |
| 1255664934 | Connie S. Walden | Registered Nurse | 1125 Utah Ave., Hoxie, KS 67740-0955 | 2009-09-11 |
| 1184853657 | Tia C Alexander | Registered Nurse | 3422 Sw Westport Dr, Topeka, KS 66614-6512 | 2009-07-06 |
| 1265668834 | Rhnae Lynn Steddum | Registered Nurse | 8518 Limerick St, Wichita, KS 67206-2419 | 2009-06-09 |
| 1134355381 | Christy Cecilia Schneck | Registered Nurse | 216 S 7th St, Conway Springs, KS 67031-8272 | 2009-06-02 |
| 1750521134 | Loretta Jo Watson | Registered Nurse | 814 Neosho Street, Emporia, KS 66801-2742 | 2009-02-25 |
| 1356506257 | Jennifer L Johnson | Registered Nurse | 21875 S Lincoln St, Spring Hill, KS 66083-7508 | 2008-07-21 |
| 1477716124 | Maria Engelhardt | Registered Nurse | 10101 W Hardtner Ave, Wichita, KS 67212-4634 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEAVENWORTH |
| Zip Code | 66027 |
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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.