Active NPI
Mary Angela Maloney, CNM
- Advanced Practice Midwife
- Kotzebue, AK
National Provider Identifier
1245316231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 1250
- Practice address
- 436 5TH & Ted Stevens Way
Kotzebue, AK 99752-0043 - Phone
- (907) 442-3321
- NPI assigned
- Oct 31, 2006
- Last updated
- Oct 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 1250 | AK | Primary |
| Midwife | 176B00000X | AP30005369 | WA |
Addresses
Primary practice location
436 5TH & Ted Stevens Way
Kotzebue, AK 99752-0043
Mailing address
PO Box 528
Kotzebue, AK 99752-0528
Phone (907) 442-3321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00069929 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1250 | AK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Current | Accepting new patients | |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Interoperability endpoints
- mmaloney@direct.maniilaq.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Maniilaq Health Center
- Critical Access Hospital
- Kotzebue, AK
- NPI 1316995210
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1245316231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 528",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520528",
"telephone_number": "907-442-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 5TH & TED STEVENS WAY",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520043",
"telephone_number": "907-442-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "MARY",
"middle_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AK",
"license": "1250",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "AP30005369",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00069929",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.