Active NPI
Debra Rosa Kristich-Miskill, CNM
- Advanced Practice Midwife
- Anchorage, AK
National Provider Identifier
1033190053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 195
- Practice address
- 3260 Providence Dr
Suite 520
Anchorage, AK 99508-4615 - Phone
- (907) 569-8810
- Fax
- (907) 569-8813
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 195 | AK | Primary |
Addresses
Primary practice location
3260 Providence Dr
Suite 520
Anchorage, AK 99508-4615
Mailing address
3260 Providence Dr
Suite 520
Anchorage, AK 99508-4661
Phone (907) 569-8810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5414 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195 | AK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring for Women, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Wasilla, AK
- NPI 1053588202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1033190053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 PROVIDENCE DR",
"address_2": "SUITE 520",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084661",
"telephone_number": "907-569-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 PROVIDENCE DR",
"address_2": "SUITE 520",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084615",
"telephone_number": "907-569-8810",
"fax_number": "907-569-8813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTICH-MISKILL",
"first_name": "DEBRA",
"middle_name": "ROSA",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AK",
"license": "195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP5414",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.