Active NPI
Darcy Danielle Clark, CPM, LM
- Midwife
- Boise, ID
National Provider Identifier
1952875205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MID-89
- Practice address
- 226 W Village LN
Boise, ID 83702-6217 - Phone
- (208) 850-4590
- NPI assigned
- Jan 18, 2019
- Last updated
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MID-89 | ID | Primary |
Addresses
Primary practice location
226 W Village LN
Boise, ID 83702-6217
Mailing address
226 W Village LN
Boise, ID 83702-6217
Phone (208) 850-4590
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 |
|---|---|---|---|
| MID-89 | ID | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boise Advanced Imaging PLLC | Past | Accepting new patients | |
| Treasure Valley Midwives, LLC | Midwife | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular & Interventional Radiology Physician
- Boise, ID
- NPI 1013946235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1952875205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 W VILLAGE LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837026217",
"telephone_number": "208-850-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 W VILLAGE LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837026217",
"telephone_number": "208-850-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "DARCY",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "MID-89",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.