Individual provider Active NPI

Heather Margaret Clarke, CNM MSN

  • Advanced Practice Midwife
  • Greenville, SC
National Provider Identifier
1003875998
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
M17730 Issued in SC
Practice address
890 W Faris Rd
Suite 470
Greenville, SC 29605-4253
Phone
(864) 455-1600
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F000286-1 NY
Advanced Practice Midwife 367A00000X M17730 SC Primary

Addresses

Primary practice location

890 W Faris Rd
Suite 470
Greenville, SC 29605-4253

Mailing address

890 W Faris Rd
Suite 470
Greenville, SC 29605-4253
Phone (864) 455-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F000286-1NYMDMidwife
000286NYMDMusic Therapist
M17730SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Community Health Center, Inc Past Accepting new patients
Maryland General Professional Practices Inc. Past Accepting new patients
Harbor Hospital Past Accepting new patients
Harbor Hospital Past Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA PastSince Jan 21, 2024 Accepting new patients
Medstar Harbor Hospital Physicians LLC Past Accepting new patients
Peoples Community Health Center, Inc Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1003875998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W FARIS RD",
            "address_2": "SUITE 470",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054253",
            "telephone_number": "864-455-1600",
            "fax_number": "864-455-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W FARIS RD",
            "address_2": "SUITE 470",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054253",
            "telephone_number": "864-455-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "HEATHER",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "CNM  MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F000286-1",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "M17730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.