Clarksville Midwifery, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLARKSVILLE MIDWIFERY, LLC

Practice address

1477 Tiny Town Rd Ste 252
Clarksville, TN 37042-7202

Phone

(931) 820-2646

Fax

(931) 241-5431

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Christine Louise Peterson, CNMNPI 1508142175

Title

Owner

Phone

(210) 896-2241

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Louise Peterson, CNM, ARNP

  • Advanced Practice Midwife
  • Clarksville, TN
  • NPI 1508142175
  NPD Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1508335696",
    "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": "370427202",
            "telephone_number": "931-820-2646",
            "fax_number": "931-241-5431"
        },
        {
            "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": "370427202",
            "telephone_number": "931-820-2646",
            "fax_number": "931-241-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-896-2241",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clarksville Internal Medicine, PLC
• Clarksville Limb & Brace & Rehab., Inc.
• Clarksville Medical Solutions
• Clarksville Modern Dentistry,PC
• Clarksville Montgomery County School System
• Clarksville Nursing and Rehabilitation Center LLC
• Clarksville OB GYN Associates
• Clarksville Operating Group LLC

• All providers in Clarksville, TN
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.