A Trusted Nurse Practitioner
NPI 1295368645ActiveOrganization· Nurse Practitioner, Family· Gulf Breeze, FL
Nurse Practitioner, Family in Gulf Breeze, Florida, registered in NPPES in February 2020. The authorized official on file is Renea Kathleen Clowdsley, APRN, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295368645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2020 |
| Last updated in NPPES | Jul 6, 2022 |
| Certified by provider | Jul 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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