Individual provider Active NPI

Cynthia Rosanne Earley, CDM

  • Midwife
  • Anchorage, AK
National Provider Identifier
1922337104
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
104936 Issued in AK
Practice address
6431 Norm Dr
Anchorage, AK 99507-2366
Phone
(907) 748-3378
NPI assigned
Dec 16, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 104936 AK Primary

Addresses

Primary practice location

6431 Norm Dr
Anchorage, AK 99507-2366

Mailing address

6431 Norm Dr
Anchorage, AK 99507-2366
Phone (907) 748-3378

Other practice location 1

2323 N Trunk Rd
Palmer, AK 99645
Phone (907) 746-6644

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
104936AKMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bore Tide Midwifery 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.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922337104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 NORM DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072366",
            "telephone_number": "907-748-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 NORM DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072366",
            "telephone_number": "907-748-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 N Trunk Rd",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "99645",
            "country_code": "US",
            "telephone_number": "907-746-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "CYNTHIA",
        "middle_name": "ROSANNE",
        "credential": "CDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "104936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.