CMS-1500 Box 24J / 33a • NPI
1942770714
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
410 N 4TH ST, LONGVIEW, TX, 75601-6511
✓ 9-Digit EDI 837 ZIP+4 (75601-6511)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942770714 (TIFFANY GAYLA CLENDENING, PMHNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1942770714)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alprazolam Alprazolam | 41 | <11 |
| Armodafinil Armodafinil | 11 | <11 |
| Bupropion Xl Bupropion Hcl | 33 | <11 |
| Buspirone Hcl Buspirone Hcl | 18 | <11 |
| Clonazepam Clonazepam | 60 | <11 |
| Desvenlafaxine Succinate Er Desvenlafaxine Succinate | 16 | <11 |
| Divalproex Sodium Divalproex Sodium | 14 | <11 |
| Duloxetine Hcl Duloxetine Hcl | 31 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1942770714 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TIFFANY GAYLA CLENDENING, PMHNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 410 N 4TH ST, LONGVIEW, TX, 75601-6511 |
| Practice Telephone / Fax | Tel: (903) 234-8808 | Fax: (903) 212-7899 |
| Administrative Mailing Address | PO BOX 489, MT ENTERPRISE, TX, 75681-0489 |
| Enumeration & Last Sync | Enumerated: 2018-12-04 | CMS Record Updated: 2022-08-25 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TIFFANY GAYLA CLENDENING, PMHNP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: TX | License: AP139914 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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