Individual provider Active NPI

Kristyn Michele Gerchalk, TRADITIONAL MIDWIFE

  • Lay Midwife
  • Pikesville, MD
National Provider Identifier
1124751136
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
Practice address
4026 Villa Nova Rd
Pikesville, MD 21207-4649
Phone
(301) 771-1373
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Lay Midwife 175M00000X Primary

Addresses

Primary practice location

4026 Villa Nova Rd
Pikesville, MD 21207-4649

Mailing address

4026 Villa Nova Rd
Pikesville, MD 21207-4649
Phone (301) 771-1373

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1124751136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 VILLA NOVA RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212074649",
            "telephone_number": "301-771-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 VILLA NOVA RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212074649",
            "telephone_number": "301-771-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERCHALK",
        "first_name": "KRISTYN",
        "middle_name": "MICHELE",
        "credential": "TRADITIONAL MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.