WHITNEY NICOLE CLARK (NPI# 1033605431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033605431 |
| Entity Type | Individual |
| Full Name | WHITNEY NICOLE CLARK |
| Credential | CNM |
| Practice Address |
3535 Pentagon Blvd Ste 220 Beavercreek OH 45431 |
| Mailing Address |
3535 Pentagon Blvd Ste 220 Beavercreek OH 45431-1705 |
| Practice Telephone | 9374297350 |
| Practice Fax Number | 9374312623 |
| Mailing Telephone | 9374297350 |
| Mailing Fax Number | 9374312623 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | APRN.CNM.019373 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0300634 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851645 | Whitney Clark | Nurse Practitioner | 319 Gaslight Blvd, Lufkin, TX 75904-3124 | 2019-10-04 |
| 1699097154 | Whitney Erin Clark | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2010-02-24 |
| Street Address |
3535 PENTAGON BLVD STE 220 |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497937783 | Cassandra Noel Graybill | Obstetrics & Gynecology | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2007-11-29 |
| 1063071520 | Jessica Lynn Ullery | Nurse Practitioner | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2019-06-10 |
| 1871030262 | Kristie Blake | Nurse Practitioner | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2017-01-24 |
| 1710122130 | Jennifer A Brannon | Nurse Practitioner | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2008-12-15 |
| 1942469424 | Rhonda Jane Conley | Registered Nurse | 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431-1705 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033345038 | Laura Bartko | Advanced Practice Midwife | 23841 S Fellows Rd, Beavercreek, OR 97004-9726 | 2009-06-03 |
| 1194718171 | Darla Rae Baker | Advanced Practice Midwife | 3535 Pentagon Blvd, Suite 220, Beavercreek, OH 45431-1705 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605088 | Erica Nicole Lotte | Advanced Practice Midwife | 134 Rolling Acre Dr, Lithopolis, OH 43136-9764 | 2020-10-02 |
| 1336756501 | Leighel Clare Webb | Advanced Practice Midwife | 3189 State Route 229, Ashley, OH 43003-8716 | 2020-09-30 |
| 1134736242 | Emily Jane Leonard | Advanced Practice Midwife | 768 Price Knl, Milford, OH 45150-1430 | 2020-09-23 |
| 1932712288 | Nicole Christina Smith | Advanced Practice Midwife | 8821 Foxgate Ct, Huber Heights, OH 45424-1103 | 2020-08-26 |
| 1154940260 | Olivia Brewer | Advanced Practice Midwife | 2022 Lewis Dr, Lakewood, OH 44107-6124 | 2020-04-09 |
| 1689225294 | Amanda Knittel | Advanced Practice Midwife | 29101 Health Campus Dr Ste 250, Westlake, OH 44145-5277 | 2019-09-25 |
| 1275181109 | Melissa Grace Miller | Advanced Practice Midwife | 2101 Adelbert Rd, Cleveland, OH 44106-2624 | 2019-09-04 |
| 1942798780 | Samantha M Buckholtz | Advanced Practice Midwife | 955 Worton Park Dr, Mayfield Village, OH 44143-3327 | 2018-04-26 |
| 1891203600 | Anna Marie Connair | Advanced Practice Midwife | 832 S Main St Ste 7&8, Orrville, OH 44667-2208 | 2018-01-15 |
| 1669991220 | Laura Allene Schrader | Advanced Practice Midwife | 9176 Winesburg Rd, Mount Eaton, OH 44659-0216 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
Please comment or provide details below to improve the information on WHITNEY NICOLE CLARK.
| 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.