Kelly Anne De Sieyes, CDM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

30 Issued in AK

Practice address

154 W Marydale Ave
Soldotna, AK 99669-7501

Phone

(907) 262-9446

Fax

(907) 262-9354

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Kelly Anne Coleman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487878443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 W MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697501",
            "telephone_number": "907-262-9446",
            "fax_number": "907-262-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697501",
            "telephone_number": "907-262-9446",
            "fax_number": "907-262-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SIEYES",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CDM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM41812",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "COLEMAN",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynelle CC Davis
• Merab Anne Davis, LMT
• Molly Gretchen Davis, LPC, MAC
• Amy Dawn-Day, LPC
• Amanda M Day-Bontly
• Cecilia Scott Deatherage, M.S,,CCC-SLP
• Marcus C Deede, M.D.
• Angeline Dove Delgado, LPC
• Caryn Diane Deluca, PA-C
• Hailey J Demello

• Midwife in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.