VICTORIA CLARK (NPI# 1215588462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215588462 |
| Entity Type | Individual |
| Full Name | VICTORIA CLARK |
| Credential | MSN, CNM, WHNP-BC |
| Practice Address |
1600 Haddon Ave Camden NJ 08103-3101 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8567573500 |
| Mailing Telephone | 8533550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2020-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 25ME00069401 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399427 | Victoria Regina Clark | Physician Assistant | 113 Sutton Dr, Berkeley Heights, NJ 07922-2510 | 2017-07-24 |
| 1730567082 | Victoria Ann Clark | Counselor | 4300 Sw Sw 13th Street, Gainesville, FL 32608 | 2015-05-07 |
| 1487073052 | Victoria Clark | Counselor | 1319 Brown St, Martinez, CA 94553-1924 | 2014-04-10 |
| 1972153757 | Victoria Ann Clark | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2019-09-13 |
| 1205494275 | Victoria Clark | Occupational Therapist | 550 Saint Charles Dr Ste 100, Thousand Oaks, CA 91360-3969 | 2019-06-04 |
| 1568924082 | Victoria Clark | Registered Nurse | 125 W Mission Ave, Escondido, CA 92025-1720 | 2019-04-03 |
| 1831614494 | Victoria Lea Clark | Case Manager/Care Coordinator | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2017-08-04 |
| 1053764076 | Victoria Clark | Physician Assistant | 1 Robert Wood Johnson Pl, Room 396, New Brunswick, NJ 08901-1928 | 2016-07-14 |
| 1346699733 | Victoria E Clark | Neurological Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-07 |
| 1457705915 | Victoria Lee Clark | Dietitian, Registered | Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2016-04-20 |
| Street Address |
1600 HADDON AVE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399455 | Christina M Lamonica | Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-07-08 |
| 1992306781 | Eric Rayburn | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-11-06 |
| 1508476177 | Georgeanne V Stilley | Clinical Nurse Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-08-07 |
| 1871125013 | Vanessa Lynn Klemas | Specialist/Technologist, Other | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-02-05 |
| 1457991903 | Idan Waksman | Physician Assistant | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-01-13 |
| 1154964716 | Jaclyn Palmisano | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-25 |
| 1538702642 | David Shaw | Anesthesiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-21 |
| 1215401120 | Lindsay Szczerbinski | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-01-14 |
| 1366919789 | Kassandre King | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2018-10-24 |
| 1104301381 | Julie Lynn Brockway | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2018-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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| 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 |
|---|---|---|---|---|
| 1598277170 | Colleen Elizabeth Riley | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2017-11-03 |
| 1205378452 | Leisha A Jackucewicz | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455781 | Dorothy Dara Cam | Advanced Practice Midwife | 100 Bowman Dr Fl 3, Voorhees, NJ 08043-9612 | 2020-04-05 |
| 1306485560 | Miranda L Peurala | Advanced Practice Midwife | 1221 Old York Rd, Burlington, NJ 08016-3809 | 2020-01-04 |
| 1356803506 | Ashley Susan Cautillo | Advanced Practice Midwife | 475 Route 70 Ste 101, Lakewood, NJ 08701-5897 | 2019-04-04 |
| 1558861401 | Katherine Park | Advanced Practice Midwife | 210 Ark Rd Ste 216, Mount Laurel, NJ 08054-3188 | 2018-02-17 |
| 1285133454 | Emily J Martinie | Advanced Practice Midwife | 400 Creek Crossing Blvd, 412, Hainesport, NJ 08036 | 2018-02-02 |
| 1770008534 | Elizabeth Robin Clarkson | Advanced Practice Midwife | 2490 Pennington Rd Ste 204, Pennington, NJ 08534-5225 | 2017-08-13 |
| 1093251316 | Shellon Karim-lewis | Advanced Practice Midwife | 36 Tuscany Dr, West Windsor, NJ 08550-2473 | 2017-01-10 |
| 1710420658 | Christine Borden | Advanced Practice Midwife | 312 Professional View Dr Bldg 300, Freehold, NJ 07728-7904 | 2016-11-27 |
| 1952858243 | Polina Dubinsky | Advanced Practice Midwife | 13-17 Sunnyside Dr, Fair Lawn, NJ 07410-4237 | 2016-09-05 |
| 1881038974 | Leilah M Tyree | Advanced Practice Midwife | 514 Boonton Ave, Boonton, NJ 07005-1510 | 2013-04-19 |
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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.