Individual provider Active NPI

Emma Clark

  • Advanced Practice Midwife
  • Washington, DC
National Provider Identifier
1417375411
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM1022317 Issued in DC
Practice address
2120 Bladensburg Rd NE
Washington, DC 20018-1440
Phone
(202) 540-9857
Fax
(202) 232-8494
NPI assigned
Apr 7, 2014
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM1022317 DC Primary
Advanced Practice Midwife 367A00000X RN1022317 DC

Addresses

Primary practice location

2120 Bladensburg Rd NE
Washington, DC 20018-1440

Mailing address

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 470-3080

Other practice location 1

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 540-9857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150828001031 DC Practitioner - Certified Nurse Midwife (CNM) 4981910478 Reassigns benefits to 1 organization
I20251009000616 VA Practitioner - Certified Nurse Midwife (CNM) 4981910478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1643 NW 136 Ave
Sunrise, FL 33323-2857

4504 20TH St N
Arlington, VA 22207-2302

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope, Inc. Multi-Specialty Current Accepting new patients
Community of Hope Inc. CurrentSince Jul 25, 2015 Accepting new patients
Community of Hope Inc. CurrentSince Jul 25, 2015 Accepting new patients
DHP of Virginia PC Multi-Specialty CurrentSince Aug 11, 2025 Accepting new patients

Locations

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

801 17th St NE
Washington, DC 20002
Phone (202) 398-5520

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

44055 Riverside Pkwy
Ste 234
Leesburg, VA 20176
Phone (703) 858-3020

Interoperability endpoints

  • Direct secure messaging: emma.clark@coh.eclinicaldirectplus.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1417375411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATLANTIC ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322350",
            "telephone_number": "202-470-3080",
            "fax_number": "202-232-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BLADENSBURG RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181440",
            "telephone_number": "202-540-9857",
            "fax_number": "202-232-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Atlantic St SW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200322350",
            "country_code": "US",
            "telephone_number": "202-540-9857",
            "fax_number": "202-232-8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DC",
            "license": "CNM1022317",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DC",
            "license": "RN1022317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.