Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katheryn Elisabeth Clark, CNM

Individual provider Advanced Practice Midwife · NPI 1417489931

Katheryn Elisabeth Clark, CNM is a Certified Nurse Midwife (CNM) in Grand Rapids, Michigan. Qualified in 2016, 10 years ago. Practices with Spectrum Health Hospitals, a 165-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2017
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

100 Michigan St NE # MC027
Grand Rapids, MI 49503-2560
Phone: (616) 391-1751
Fax: (616) 391-2310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503-2527 — (616) 391-2160

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 4704328067 (MI)

Record details

NPI number1417489931
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Spectrum Health Hospitals — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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