Individual provider Active NPI

Pamela Sharise Clostio, CNM

  • Advanced Practice Midwife
  • Kalispell, MT
National Provider Identifier
1831404946
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
022709 Issued in MT
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

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
022709MTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.