MRS. CASEY RENEE CLEVENGER CNP NPI 1609113554

NPI Information

NPI: 1609113554
Provider Name: MRS. CASEY RENEE CLEVENGER, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4437 STATE ROUTE 159
SUITE 125
CHILLICOTHE, OH
ZIP 45601
Phone: (740) 779-4570
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MRS. Casey Renee Clevenger, CNP is a family nurse practitioner in Chillicothe, OH with 12 years of experience. MRS. Casey Renee Clevenger, CNP NPI is 1609113554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4437 STATE ROUTE 159
SUITE 125
CHILLICOTHE, OH
ZIP 45601-065
Phone: (740) 779-4570
Fax: (740) 779-4579

The NPI 1609113554 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/12/2013 and was last updated on 11/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	COA.14264-NP	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0079125	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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