Individual provider Active NPI

Anna Christine Gilmore, DEM

  • Midwife
  • Grand Junction, CO
National Provider Identifier
1811554587
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
600 Rood Ave
Grand Junction, CO 81501-2760
Phone
(970) 216-7849
Fax
(970) 549-8259
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MWR.0000196 CO
Midwife 176B00000X Primary

Addresses

Primary practice location

600 Rood Ave
Grand Junction, CO 81501-2760

Mailing address

2793 Cheyenne Dr
Grand Junction, CO 81503-2874
Phone (970) 216-7849

Other practice location 1

488 Highway 92
Delta, CO 81416-3471
Phone (970) 216-7849

Other identifiers 1

IdentifierTypeStateIssuer
06101981201938OtherUTTHIS IS A NUMBER I CREATED FOR MYSELF

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@modernvillagewisdom.com Direct

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

LicenseStateTypeSpecialty
MWR.0000196COMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1811554587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 CHEYENNE DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815032874",
            "telephone_number": "970-216-7849",
            "fax_number": "970-549-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012760",
            "telephone_number": "970-216-7849",
            "fax_number": "970-549-8259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "488 Highway 92",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814163471",
            "country_code": "US",
            "telephone_number": "970-216-7849",
            "fax_number": "970-549-8259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "ANNA",
        "middle_name": "CHRISTINE",
        "credential": "DEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "MWR.0000196",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THIS IS A NUMBER I CREATED FOR MYSELF",
            "identifier": "06101981201938",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@modernvillagewisdom.com",
            "affiliation": "N",
            "endpointDescription": "email address for modern village wisdom",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 Rood Ave",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815012760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.