NPIMap

Organization Active NPI

Miriam Clark

  • Clinic/Center
  • Wellesley, MA
National Provider Identifier
1609313428
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RN2284844 Issued in MA
Legal business name
MIRIAM CLARK
Practice address
35 Chesterton Rd
Wellesley, MA 02481-1106
Phone
(781) 235-3182
NPI assigned
Jan 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Mrs. Miriam Clark, FNP, RN
Title
Family Nurse Practitioner
Phone
(781) 235-3182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RN2284844 MA Primary

Addresses

Primary practice location

35 Chesterton Rd
Wellesley, MA 02481-1106

Mailing address

35 Chesterton Rd
Wellesley, MA 02481-1106
Phone (781) 235-3182

National Provider Directory

National Provider Directory
Tax ID family
Metro Nashville Public Health Dept103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1609313428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CHESTERTON RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811106",
            "telephone_number": "781-235-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CHESTERTON RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811106",
            "telephone_number": "781-235-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM CLARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "781-235-3182",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP, RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "RN2284844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.