Individual provider Active NPI

Jaime Lynn Clark, APRN, CNM

  • Advanced Practice Midwife
  • Pinellas Park, FL
National Provider Identifier
1124309729
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9466985 Issued in FL
Practice address
7550 43Rd St N
Pinellas Park, FL 33781-3601
Phone
(727) 824-8181
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP9466985 FL Primary

Addresses

Primary practice location

7550 43Rd St N
Pinellas Park, FL 33781-3601

Mailing address

7675 16TH St N
St Petersburg, FL 33702-5122
Phone (727) 824-8181

Other practice location 1

14100 58th St N
Clearwater, FL 33760-9900
Phone (727) 824-8181

Other practice location 2

909 Druid Rd E
Clearwater, FL 33756-5603
Phone (727) 824-8181

Other practice location 3

1344 22nd St S
St Petersburg, FL 33712-2744
Phone (727) 824-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220000791 FL Practitioner - Certified Nurse Midwife (CNM) 2668644766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1344 22ND St S
St Petersburg, FL 33712-2744
Phone (727) 824-8181

14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181

7550 43Rd St N
Pinellas Park, FL 33781-3601
Phone (727) 824-8181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Pinellas Inc Current Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Nov 6, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Nov 6, 2017 Accepting new patients
Community Health Centers of Pinellas Inc. Past Accepting new patients

Locations

707 Druid Rd E
Clearwater, FL 33756
Phone (727) 441-8963

14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224

5523 Roosevelt Blvd
Clearwater, FL 33760

14100 58th St N
Clearwater, FL 33760

7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701

Interoperability endpoints

  • Direct secure messaging: jclark189227@orlandohealth.medalliesdirect.net

Organizations & group practices 5

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1124309729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025122",
            "telephone_number": "727-824-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 43RD ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813601",
            "telephone_number": "727-824-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 58th St N",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337609900",
            "country_code": "US",
            "telephone_number": "727-824-8181",
            "fax_number": "727-824-8137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Druid Rd E",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337565603",
            "country_code": "US",
            "telephone_number": "727-824-8181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1344 22nd St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337122744",
            "country_code": "US",
            "telephone_number": "727-824-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9466985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.