Individual provider Active NPI

Cristin Autrey Gilley, CNM

  • Advanced Practice Midwife
  • Annapolis, MD
National Provider Identifier
1063649861
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
2003 Medical Pkwy
Suite G50
Annapolis, MD 21401-7992
Phone
(410) 573-1094
Fax
(410) 573-1097
NPI assigned
Jun 18, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU Primary

Addresses

Primary practice location

2003 Medical Pkwy
Suite G50
Annapolis, MD 21401-7992

Mailing address

2003 Medical Pkwy
Suite G50
Annapolis, MD 21401-7992
Phone (410) 573-1094

Other identifiers 1

IdentifierTypeStateIssuer
417732100MedicaidMD

Other names 1

  • Cristin Elizabeth Autrey Former name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1063649861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY",
            "address_2": "SUITE G50",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017992",
            "telephone_number": "410-573-1094",
            "fax_number": "410-573-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY",
            "address_2": "SUITE G50",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017992",
            "telephone_number": "410-573-1094",
            "fax_number": "410-573-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "CRISTIN",
        "middle_name": "AUTREY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417732100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTIN",
            "last_name": "AUTREY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.