MISS THERESA LYNN CLIFFORD F.N.P., A.P.R.N.
NPI 1316029507
Nurse Practitioner - Family in Shelbyville, KY

Q: What is Theresa Clifford's NPI number?

The NPI number for Theresa Clifford is 1316029507. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Theresa Clifford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Clifford was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 19, 2006

60 MACK WALTERS RD, SHELBYVILLE, KY 40065(502) 633-4622(502) 633-6925 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2018, Dec 22, 2016, Mar 4, 2016 (3 updates tracked since 2016).

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About Miss Theresa Lynn Clifford F.n.p., A.p.r.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS THERESA LYNN CLIFFORD F.N.P., A.P.R.N. (NPI 1316029507) is an individual family provider in Shelbyville, Kentucky, licensed in Kentucky (3002154) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1316029507

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS THERESA LYNN CLIFFORDCredential: F.N.P., A.P.R.N.

Location Address60 MACK WALTERS RDShelbyville, KY 40065-1738

Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 633-4622 · Fax (502) 633-6925

Phone(502) 633-4622

Fax(502) 633-6925

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateApril 18, 20183 updates tracked since enumeration

✔ NPI 1316029507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3002154

60 MACK WALTERS RD, Shelbyville, KY 40065

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Other Identifiers 4

Other3722988000KY · Passport Advantage

Medicaid7100078250KY

Other000000626807KY · Anthem

Other50024463KY · Passport

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD E WALDRIDGE SR. MD

Family Medicine