Active NPI
Pamela Sharise Clostio, CNM
- Advanced Practice Midwife
- Kalispell, MT
National Provider Identifier
1831404946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 022709
- Practice address
- 1320 2ND Ave E
Kalispell, MT 59901-5715 - Phone
- (406) 257-5616
- Fax
- (406) 260-4456
- NPI assigned
- Aug 12, 2010
- 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 | 022709 | MT | Primary |
Addresses
Primary practice location
1320 2ND Ave E
Kalispell, MT 59901-5715
Mailing address
1750 McMannamy Draw
Kalispell, MT 59901
Phone (406) 257-5616
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022709 | MT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P Sharise Clostio, PLLC | Advanced Practice Midwife | Current | Accepting new patients |
| Community Birth Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Kalispell, MT
- NPI 1891545547
Advanced Practice Midwife
-
- Birthing Clinic/Center
- Kalispell, MT
- NPI 1487993275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1831404946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 MCMANNAMY DRAW",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-257-5616",
"fax_number": "406-260-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 2ND AVE E",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015715",
"telephone_number": "406-257-5616",
"fax_number": "406-260-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSTIO",
"first_name": "PAMELA",
"middle_name": "SHARISE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MT",
"license": "022709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.