Clementine Barnette

Individual provider Active NPI Advanced Practice Midwife · Louisville, KY

NPI 1982370144 · NPPES record last updated Aug 31, 2021

Key facts

NPI
1982370144
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
3016111 (KY)
Practice address
401 E Chestnut St
Louisville, KY 40202-5700
Phone
(502) 588-6000
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
301611KYMDMidwife
CNM06764TNMDMidwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CNM06764 TN
Midwife 176B00000X 301611 KY
Advanced Practice Midwife 367A00000X 3016111 KY Yes

Addresses

Primary practice location

401 E Chestnut St
Louisville, KY 40202-5700

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other providers in Louisville, KY

All providers in Louisville, KY · Advanced Practice Midwife in Kentucky

Sources for this page

Verify at the official NPI Registry.