Active NPI
Cheryl Ann Corrick, CDM
- Midwife
- Fairbanks, AK
National Provider Identifier
1639200611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- AA21
- Practice address
- 728 Gaffney Rd
Suite 100
Fairbanks, AK 99701-4610 - Phone
- (907) 456-3719
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 9, 2007
- 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 | AA21 | AK | Primary |
Addresses
Primary practice location
728 Gaffney Rd
Suite 100
Fairbanks, AK 99701-4610
Mailing address
728 Gaffney Rd
Suite 100
Fairbanks, AK 99701-4610
Phone (907) 456-3719
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM0021 | Medicaid | AK | |
| AA21 | Other | AK | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| AA21 | AK | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Midwives, LLC | Midwife | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Midwife
- Fairbanks, AK
- NPI 1235468505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639200611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 GAFFNEY RD",
"address_2": "SUITE 100",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014610",
"telephone_number": "907-456-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 GAFFNEY RD",
"address_2": "SUITE 100",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014610",
"telephone_number": "907-456-3719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRICK",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CDM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AK",
"license": "AA21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NM0021",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "AA21",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
- Tatyana Cooper
- Coordination Centre Fairbanks
- Christina Copeland
- Jacob Corban
- Brooke Vanessa Cordova, PA-C
- Nicholas Paul Cosentino, D.O
- Costco Wholesale Corporation (Costco Optical #1342)
- Costco Wholesale Corporation (Costco Pharmacy #1342)
- Costco Wholesale Corporation (Costco Hearing Aid #1342)
- Costello Chiropractic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.