NPIMap

Individual provider Active NPI

Ann Thomas King, CNM

  • Advanced Practice Midwife
  • Soldotna, AK
National Provider Identifier
1366686347
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
155661 Issued in AK
Practice address
35670 Kenai Spur Hwy Ste 101a
Soldotna, AK 99669-7649
Phone
(907) 262-2602
Fax
(907) 262-5794
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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 155661 AK Primary

Addresses

Primary practice location

35670 Kenai Spur Hwy Ste 101a
Soldotna, AK 99669-7649

Mailing address

35670 Kenai Spur Hwy Ste 101a
Soldotna, AK 99669-7649
Phone (907) 262-2602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710002970 AK Practitioner - Certified Nurse Midwife (CNM) 2264614593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35670 Kenai Spur Hwy
Suite 101a
Soldotna, AK 99669

811 Regency CT
Soldotna, AK 99669-9486

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
155661AKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore Barton Advanced Practice Midwife CurrentSince Jan 19, 2020 Accepting new patients

Locations

35670 Kenai Spur Hwy
Ste 10
Soldotna, AK 99669

35670 Kenai Spur Hwy
Ste 101A
Soldotna, AK 99669
Phone (907) 262-2602

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHHCBA/Endpoint/IHHCBA

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 and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1366686347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35670 KENAI SPUR HWY STE 101A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697649",
            "telephone_number": "907-262-2602",
            "fax_number": "907-262-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35670 KENAI SPUR HWY STE 101A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697649",
            "telephone_number": "907-262-2602",
            "fax_number": "907-262-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANN",
        "middle_name": "THOMAS",
        "name_prefix": "Miss",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "155661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.