Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Skye Ivy

Individual provider Pediatrics Physician · NPI 1659638666

Autumn Skye Ivy is a Pediatrics Physician in Baltimore, Maryland. Works from 2 locations. Licensed in California and Maryland.

Licensed in
CA, MD
In the registry since
2012
Specialties on file
3

Practice location Address checks out

1800 Orleans St
Baltimore, MD 21264-4203
Phone: (410) 502-2037
Fax: (410) 955-0737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 W La Veta Ave, Orange, CA 92868-4203 — (888) 770-2462

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence D0101347 (MD)
Pediatrics Physician Taxonomy 208000000X · Licence A126865 (CA)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence A126865 (CA)

Record details

NPI number1659638666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2012
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

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