Active NPI
Bethany Ellen Kirillov, CDM
- Midwife
- Wasilla, AK
National Provider Identifier
1619789252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 232272
- Practice address
- 525 E Silver Fox LN
Wasilla, AK 99654-3846 - Phone
- (907) 521-5572
- NPI assigned
- Jan 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 232272 | AK | Primary |
Addresses
Primary practice location
525 E Silver Fox LN
Wasilla, AK 99654-3846
Mailing address
525 E Silver Fox LN
Wasilla, AK 99654-3846
Phone (907) 521-5572
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232272 | AK | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1619789252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E SILVER FOX LN",
"city": "WASILLA",
"state": "AK",
"postal_code": "996543846",
"telephone_number": "907-521-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E SILVER FOX LN",
"city": "WASILLA",
"state": "AK",
"postal_code": "996543846",
"telephone_number": "907-521-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRILLOV",
"first_name": "BETHANY",
"middle_name": "ELLEN",
"credential": "CDM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-21",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AK",
"license": "232272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.