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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 176B00000X | Midwife | 000058 | CT | Other Service Providers |
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 |
Street Address |
100 CHURCH ST S |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1703 |
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 |
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 Code | 176B00000X |
Grouping | Other Service Providers |
Classification | Midwife |
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] |
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 |
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 |
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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.