Active NPI
Cynthia Rosanne Earley, CDM
- Midwife
- Anchorage, AK
National Provider Identifier
1922337104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 104936
- Practice address
- 6431 Norm Dr
Anchorage, AK 99507-2366 - Phone
- (907) 748-3378
- NPI assigned
- Dec 16, 2009
- Last updated
- Mar 17, 2018
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 104936 | AK | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Midwife
- Anchorage, AK
- NPI 1396244711
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.