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

NPI Status: Active since November 19, 2018

Contact Information

1477 TINY TOWN RD STE 252
CLARKSVILLE, TN
ZIP 37042
Phone: (931) 820-2646
Fax: (931) 241-5431

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 44D2278509
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 03-19-2027

About CLARKSVILLE MIDWIFERY, LLC

This page provides the complete NPI Profile along with additional information for Clarksville Midwifery, Llc, a provider established in Clarksville, Tennessee operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1508335696 assigned on November 2018. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Clarksville Midwifery, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Christine Louise Peterson Cnm (Owner)

NPI
1508335696
Provider Name
CLARKSVILLE MIDWIFERY, LLC
Entity Type
Organization
Location Address
1477 TINY TOWN RD STE 252 CLARKSVILLE, TN 37042
Location Phone
(931) 820-2646
Location Fax
(931) 241-5431
Mailing Address
1477 TINY TOWN RD STE 252 CLARKSVILLE, TN 37042
Mailing Phone
(931) 820-2646
Mailing Fax
(931) 241-5431
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2018
Last Update Date
11-19-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1176B00000XOther Service Providers

Midwife

 
2367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINE LOUISE PETERSON CNM

Authorized Official Title
OWNER
Authorized Official Phone
(210) 896-2241

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2278509
Facility Type
Practitioner Other
Certificate Effective Date
March 20, 2025
Certificate Expiration Date
March 19, 2027
Laboratory Director
JENNIFER R. FARDINK
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Clarksville Midwifery, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508335696, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 6 + 3 + 1 + 0 + 6 + 1 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1508335696.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508335696, enumerated as an "organization" on November 19, 2018.

The provider is located at 1477 TINY TOWN RD STE 252 CLARKSVILLE, TN 37042 and the phone number is (931) 820-2646.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.