Active NPI
Bronwen Lanclos Clement, MSN, APRN-CNM
- Advanced Practice Midwife
- Lafayette, LA
National Provider Identifier
1609555622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 230570
- Practice address
- 715 Coolidge St Ste B
Lafayette, LA 70503-2309 - Phone
- (337) 412-4373
- NPI assigned
- Jul 17, 2023
- Last updated
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 230570 | LA | Primary |
Addresses
Primary practice location
715 Coolidge St Ste B
Lafayette, LA 70503-2309
Mailing address
715 Coolidge St Ste B
Lafayette, LA 70503-2309
Phone (337) 412-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230570 | LA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwife Kira | Current | Accepting new patients | |
| Midwife Kira | Current | Accepting new patients |
Locations
715 Coolidge St
Ste B
Lafayette, LA 70503
Phone (337) 412-4373
Organizations & group practices 2
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": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1609555622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 COOLIDGE ST STE B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032309",
"telephone_number": "337-412-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 COOLIDGE ST STE B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032309",
"telephone_number": "337-412-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "BRONWEN",
"middle_name": "LANCLOS",
"name_prefix": "Mrs.",
"credential": "MSN, APRN-CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "LA",
"license": "230570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.