Individual provider Active NPI

Christine Louise Peterson, CNM, ARNP

  • Advanced Practice Midwife
  • Clarksville, TN
National Provider Identifier
1508142175
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
23155 Issued in TN
Practice address
1477 Tiny Town Rd Ste 252
Clarksville, TN 37042-4753
Phone
(210) 896-2241
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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 705385 TX
Advanced Practice Midwife 367A00000X 23155 TN Primary

Addresses

Primary practice location

1477 Tiny Town Rd Ste 252
Clarksville, TN 37042-4753

Mailing address

1477 Tiny Town Rd Ste 252
Clarksville, TN 37042
Phone (210) 896-2241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210106002218 TN Practitioner - Certified Nurse Midwife (CNM) 0446663793 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23155TNMDAdvanced Practice Midwife
705385TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Tennessee, P.C. CurrentSince Nov 17, 2020 Accepting new patients
Clarksville Birth Center, LLC Current Accepting new patients
Hospital Medicine Services of TN, LLC CurrentSince Mar 14, 2025 Accepting new patients
Clarksville Midwifery, LLC Advanced Practice Midwife Current Accepting new patients

Locations

225 Dunbar Cave Rd
Ste B
Clarksville, TN 37043
Phone (931) 552-5332

1477 Tiny Town Rd
Clarksville, TN 37042
Phone (931) 251-9722

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

2221 Murphy Ave
Nashville, TN 37203
Phone (615) 324-2192

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2300 Patterson St
#M
Nashville, TN 37203

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1508142175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 TINY TOWN RD STE 252",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37042",
            "telephone_number": "210-896-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 TINY TOWN RD STE 252",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424753",
            "telephone_number": "210-896-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "credential": "CNM, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "705385",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "23155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.