Camille Danielle Clark, BIRTH DOULA

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1115 Crown Point Cir NW
Concord, NC 28027-1912

Phone

(619) 453-9476

NPI assigned

Jul 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1851879092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 CROWN POINT CIR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271912",
            "telephone_number": "619-453-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 CROWN POINT CIR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271912",
            "telephone_number": "619-453-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CAMILLE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "BIRTH DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Ciraula, MD
• City of Kannapolis
• CK41 Facilities Service
• Andrew Clark, PHARMD
• Brittney K Clark
• Catherine Clark
• Christopher Michael Clark, DDS
• Debra Clark, PNP
• Devin Clark, LCMHC-A, NCC
• Dion Crimson Clark, MS

• Doula in Concord, NC
• Providers in Concord, NC by specialty
• Doula in North Carolina

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