Clarice Nichole Wardlaw, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0024177177 Issued in VA

Practice address

3333 Station House Rd Ste B
Chesapeake, VA 23321-2515

Phone

(833) 526-4448

Fax

(757) 859-0007

NPI assigned

Sep 27, 2006

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

Other identifiers 3

Other names 1

• Clarice Nichole Childs Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Medical University of South Carolina College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fauquier Physician Practices LLCGroup PAC ID 6406083104, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clarice.wardlaw.1@16767.direct.athenahealth.com
• Direct secure messaging: clarice.wardlaw.1@23024.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23024/brand/1/csg/1/fhir/r4

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.

• Fauquier Physician Practices LLC

  • Internal Medicine Physician
  • Warrenton, VA
  • NPI 1770916983
  Medicare reassignment Care Compare group NPD
• Jamii Birth and Wellness Services, LLC

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
  • NPI 1043028400
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1972694735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 TOWNE POINT RD UNIT 6791",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237031339",
            "telephone_number": "757-439-7406",
            "fax_number": "757-859-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 STATION HOUSE RD STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212515",
            "telephone_number": "833-526-4448",
            "fax_number": "757-859-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Coliseum Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236665974",
            "country_code": "US",
            "telephone_number": "757-827-2455",
            "fax_number": "757-452-5773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDLAW",
        "first_name": "CLARICE",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024177177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175627201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972694735",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MW0175",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARICE",
            "last_name": "CHILDS",
            "middle_name": "NICHOLE",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Walters
• Kiara S Walton, LPC
• Ashley Cornell Waltrip, PSY.D.
• Lori Ward, PT
• Richard Mark Wardell
• Lyan Ware
• Rebecca Ware, PHARMD
• Sirron Marion Ware, COSMETOLOGIST
• Vonda Latoyisha Warren-Lilly, LPC
• Jon M. Warren, LPC

• Advanced Practice Midwife in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Advanced Practice Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.