TERRI PATRICE CLARK


Address: 100 Church St S, New Haven, CT 06519-1703
Phone: 2037372546

TERRI PATRICE CLARK (NPI# 1013909050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013909050
Entity Type Individual
Full Name TERRI PATRICE CLARK
Credential CNM, PHD
Practice Address 100 Church St S
New Haven
CT 06519-1703
Mailing Address 141 Cannon St
Hamden
CT 06518-2512
Practice Telephone 2037372546
Practice Fax Number 2037856455
Mailing Telephone 2032879055
Enumeration Date 2005-08-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 176B00000X Midwife 000058 CT Other Service Providers

Other Providers TERRI CLARK

NPI Name Taxonomy Address Enumeration
1336411107 Terri Clark Counselor 21 Ne 63rd St, Oklahoma City, OK 73105-1421 2012-02-08
1942372966 Terri Lee Clark Registered Nurse 1505 N Rynders St, Grand Chute, WI 54914-1614 2006-11-14
1184703159 Terri S Clark Technician/Technologist 406 Highway 6 South, Oakland, IA 51560-0323 2006-11-02
1376556399 Terri Clark Physical Therapist 3331 S State St, Saint Joseph, MI 49085-2458 2006-08-14
1598325896 Terri A Clark Physical Therapy Assistant 1900 Oneal St, Gainesville, TX 76240-3604 2019-06-18
1770035966 Terri Jo Clark Nurse Practitioner 2353 N Main St, Vidor, TX 77662-2610 2016-11-04
1962954305 Terri Jo Clark Nurse Practitioner 1521 Gull Rd, Kalamazoo, MI 49048-1640 2016-11-02
1750761607 Terri L Clark Social Worker 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2015-06-05
1154576130 Terri Nikole Clark Social Worker 1704 Highway 69 West, Trumann, AR 72472-2029 2008-11-18
1659396919 Terri L Clark Nurse Anesthetist, Certified Registered 1 Medical Park, Wheeling, WV 26003-6379 2006-07-13

Office Location

Street Address 100 CHURCH ST S
City NEW HAVEN
State CT
Zip Code 06519-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053311423 Marianne Terisa Stone Midwife 100 Church St S, Pob 9740, New Haven, CT 06519-1703 2005-07-28
1104071265 Mayri Sagady Leslie Registered Nurse 100 Church St S, New Haven, CT 06519-1703 2008-11-17
1619148913 Jim A Vanrhee Physician Assistant 100 Church St S, Suite A250, New Haven, CT 06519-1703 2008-03-14
1003024696 Yvonne M Lindemann Marriage & Family Therapist 100 Church St S, New Haven, CT 06519-1703 2007-05-18
1801001656 Sheila L. Molony Registered Nurse 100 Church St S, Suite 231, New Haven, CT 06519-1703 2007-05-14
1023232139 Shelley Yerger Hawkins Nurse Practitioner 100 Church St S, #271, New Haven, CT 06519-1703 2007-04-12
1942274451 Michelle L Telfer Advanced Practice Midwife 100 Church St S, Rm 242, New Haven, CT 06519-1703 2006-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
Find all providers in zip 06519

Taxonomy Information

Taxonomy Code 176B00000X
Grouping Other Service Providers
Classification Midwife

Taxonomy Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669517884 Maryellen Lugene Albini Midwife 25 Howard Street, New Haven, CT 06513-4036 2007-02-21
1285775536 Joni Stone Midwife 150 Lakeview Ter, New Haven, CT 06515-1811 2007-02-09
1891797213 Parvin Kasraian Midwife 1441 Chapel St, Center for Women Health and Midwifery, New Haven, CT 06511-4403 2005-08-15
1053311423 Marianne Terisa Stone Midwife 100 Church St S, Pob 9740, New Haven, CT 06519-1703 2005-07-28
1649895905 Sara Culver Midwife 46 Prince St Ste 207, New Haven, CT 06519-1600 2020-06-12
1508491598 Caroline Rose Luciani Midwife 46 Prince St Ste 207, New Haven, CT 06519-1600 2020-03-10
1649551706 Jodi Jean Winemiller Midwife 875 Orange St, Unit #2, New Haven, CT 06511-2509 2011-09-02
1346280393 Richard Francis Jennings Midwife 20 York St, Labor & Delivery Yale New Haven Hospital, Wp-4, New Haven, CT 06510-3220 2006-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639787815 Family Midwifery, LLC Midwife 23 Rosemont Drive, Deep Rivier, CT 06417 2020-07-14
1487112819 Carolyn Constance Greenfield Midwife 76 Billings Rd, Somers, CT 06071-1924 2019-03-05
1871835579 Gengi Gunn Proteau Midwife 23 Rosemont Dr, Deep River, CT 06417-1680 2013-03-20
1811278948 Cynthia Marie Schulte Bean Midwife 211 Roanoak Ave, Willimantic, CT 06226-1115 2011-09-02
1972811859 Michelle E Killingsworth Midwife 87 Church St, Suite 204, East Hartford, CT 06108-3720 2010-09-14
1679696686 Trisha O Ludwig Midwife 850 N Main Street Ext Bldg 2, Suite 3a&b, Wallingford, CT 06492-2400 2007-04-06
1497765283 Joan Combellick Midwife Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477 2006-08-08
1568480739 Continence Care, LLC Midwife 80 Beech Hill Rd., Colebrook, CT 06021-0060 2006-07-17
1467470898 Claudia N. Bradley Midwife 1075 Woodland Street, Women's Clinic, Hartford, CT 06105-1218 2006-07-17
1629023536 Brenda I Kulikowski Midwife 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 2006-05-23
Find all providers with the same taxonomy

Competitor

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City NEW HAVEN
Zip Code 06519

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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