Douglas Clyburn, R.N.
Douglas Clyburn, R.N. is a General Practice Registered Nurse in Staten Island, NY, registered under NPI 1154685469. This provider registers 14 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 23 YORK AVE, Staten Island, NY 10301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 568854 | NY | Registered Nurse |
| 568854 | NY | Addiction (Substance Use Disorder)… |
| 568854 | NY | Case Management Registered Nurse |
| 568854 | NY | Continence Care Registered Nurse |
| 568854 | NY | Diabetes Educator Registered Nurse |
| 568854 | NY | General Practice Registered Nurse primary |
| 568854 | NY | Home Health Registered Nurse |
| 568854 | NY | Hospice Registered Nurse |
| 568854 | NY | Infection Control Registered Nurse |
| 568854 | NY | Medical-Surgical Registered Nurse |
| 568854 | NY | Nutrition Support Registered Nurse |
| 568854 | NY | Pain Management Registered Nurse |
| 568854 | NY | Wound Care Registered Nurse |
| 568854 | NY | Ostomy Care Registered Nurse |
This provider holds licence 568854 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
Definition to come... NUCC Health Care Provider Taxonomy, code 163WG0000X
All registered taxonomy codes
This provider registers 14 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 568854 | NY | |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse Addiction (Substance Use Disorder) | 568854 | NY | |
| 163WC0400X | Case Management Registered Nurse Case Management | 568854 | NY | |
| 163WC2100X | Continence Care Registered Nurse Continence Care | 568854 | NY | |
| 163WD0400X | Diabetes Educator Registered Nurse Diabetes Educator | 568854 | NY | |
| 163WG0000X | General Practice Registered Nurse General Practice | 568854 | NY | primary |
| 163WH0200X | Home Health Registered Nurse Home Health | 568854 | NY | |
| 163WH1000X | Hospice Registered Nurse Hospice | 568854 | NY | |
| 163WI0600X | Infection Control Registered Nurse Infection Control | 568854 | NY | |
| 163WM0705X | Medical-Surgical Registered Nurse Medical-Surgical | 568854 | NY | |
| 163WN1003X | Nutrition Support Registered Nurse Nutrition Support | 568854 | NY | |
| 163WP0000X | Pain Management Registered Nurse Pain Management | 568854 | NY | |
| 163WW0000X | Wound Care Registered Nurse Wound Care | 568854 | NY | |
| 163WX1500X | Ostomy Care Registered Nurse Ostomy Care | 568854 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1154685469 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 2, 2012 |
| Last updated | Jul 2, 2012 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | R.N. |
| Practice address |
23 YORK AVE Staten Island, NY 10301 (347) 937-0238 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 6 | 8 | 5 | 4 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 3 | 8 | 1 | 4 | 3 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.