CLARKSVILLE MIDWIFERY, LLC
NPI 1508335696
Clinic/Center - Health Service in Clarksville, TN

Active since November 19, 2018CLIA 44D2278509 · Microscopy
1477 TINY TOWN RD STE 252, CLARKSVILLE, TN 37042(931) 820-2646(931) 241-5431 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarksville Midwifery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSVILLE MIDWIFERY, LLC (NPI 1508335696) is a healthcare organization registered as a health service in Clarksville, Tennessee and active in the NPI registry since November 2018. The organization holds a CLIA Microscopy certificate valid through March 19, 2027 and lists Christine Louise Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1508335696
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCLARKSVILLE MIDWIFERY, LLC
Location Address1477 TINY TOWN RD STE 252Clarksville, TN 37042-7202
Mailing Address1477 Tiny Town Rd Ste 252Clarksville, TN 37042-7202 · (931) 820-2646 · Fax (931) 241-5431
Fax(931) 241-5431
Organization SubpartNo
Authorized OfficialChristine Louise PetersonOwner · (210) 896-2241
Enumeration DateNovember 19, 2018
NPI 1508335696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedMidwifeTaxonomy 176B00000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
1477 TINY TOWN RD STE 252, Clarksville, TN 37042

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D2278509

Clarksville Midwifery LLC · Clarksville, TN
Active · expires Mar 19, 2027
CLIA Number44D2278509
Laboratory TypePractitioner Other
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorJennifer R. Fardink
Laboratory Phone(931) 820-2646
Laboratory LocationClarksville Midwifery LLC225 Dunbar Cave Road, Suite B, Clarksville, TN 37043
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
1477 TINY TOWN RD STE 252
CLARKSVILLE, TN 37042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarksville Midwifery, LLC's NPI number?

The NPI number for Clarksville Midwifery, LLC is 1508335696. It was assigned to this organization in the NPPES registry on November 19, 2018.

Where is Clarksville Midwifery, LLC located?

Clarksville Midwifery, LLC is located at 1477 Tiny Town Rd Ste 252, Clarksville, TN 37042. The listed phone number is (931) 820-2646.

What is Clarksville Midwifery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Clarksville Midwifery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2278509) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clarksville Midwifery, LLC was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.