Elaine Clutterbuck, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

000223 Issued in NY

Practice address

397 Louisiana St
Buffalo, NY 14204-2275

Phone

(716) 847-6610

Fax

(716) 854-3052

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Doctor of Medicine

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1124081070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LOUISIANA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042275",
            "telephone_number": "716-847-6610",
            "fax_number": "716-854-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LOUISIANA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042275",
            "telephone_number": "716-847-6610",
            "fax_number": "716-854-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUTTERBUCK",
        "first_name": "ELAINE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "000223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010252101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "2012804",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "5008733",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00466393",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005600462",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Cloud, MD
• Pamela A Clough, CRNA
• Haley Noelle Cloutier
• Meghan Murphy Cloutier, MD
• Tara Lyn Cloutier, RD
• Jacqueline Clyburn, LPN
• Tori Clyde, OTR/L
• John Patrick Co
• Daijha Caprice Cobbs, NP
• Christine Coburn Miller, RD

• Advanced Practice Midwife in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.