Active NPI
Claudia Killebrew, CNM
- Midwife
- American Fork, UT
National Provider Identifier
1497717052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 215423-4402
- Practice address
- 1248 E 90 N
Ste 300
American Fork, UT 84003-2956 - Phone
- (801) 756-1577
- Fax
- (801) 216-8357
- NPI assigned
- Apr 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 215423-4402 | UT | Primary |
Addresses
Primary practice location
1248 E 90 N
Ste 300
American Fork, UT 84003-2956
Mailing address
1248 E 90 N
Ste 300
American Fork, UT 84003-2956
Phone (801) 756-1577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0549 | Medicaid | UT |
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 |
|---|---|---|---|
| 215423-4402 | UT | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1497717052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 E 90 N",
"address_2": "STE 300",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032956",
"telephone_number": "801-756-1577",
"fax_number": "801-216-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 E 90 N",
"address_2": "STE 300",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032956",
"telephone_number": "801-756-1577",
"fax_number": "801-216-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLEBREW",
"first_name": "CLAUDIA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "UT",
"license": "215423-4402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D0549",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.