Individual provider Active NPI

Autumn Promise Loken, C.D.M. , R.N.

  • Midwife
  • Anchorage, AK
National Provider Identifier
1306155205
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MID M 68 Issued in AK
Practice address
324 Lynnwood Dr # C
Anchorage, AK 99518-1850
Phone
(907) 350-0778
NPI assigned
Sep 27, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NUR R 29189 AK
Midwife 176B00000X MID M 68 AK Primary

Addresses

Primary practice location

324 Lynnwood Dr # C
Anchorage, AK 99518-1850

Mailing address

324 Lynnwood Dr # C
Anchorage, AK 99518-1850
Phone (907) 350-0778

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
NUR R 29189AKMDRegistered Nurse
MID M 68AKMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1306155205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LYNNWOOD DR # C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181850",
            "telephone_number": "907-350-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LYNNWOOD DR # C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181850",
            "telephone_number": "907-350-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOKEN",
        "first_name": "AUTUMN",
        "middle_name": "PROMISE",
        "credential": "C.D.M. , R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NUR R 29189",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "MID M 68",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 27, 2010; 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.