Individual provider Active NPI

Kathryn F.L. O'Brien, CNM

  • Advanced Practice Midwife
  • Camden, DE
National Provider Identifier
1114196847
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
261 E Camden Wyoming Ave
Camden, DE 19934-1209
Phone
(302) 270-4576
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

261 E Camden Wyoming Ave
Camden, DE 19934-1209

Mailing address

261 E Camden Wyoming Ave
Camden, DE 19934-1209
Phone (302) 270-4576

Other practice location 1

640 S State St
Dover, DE 19901-3530
Phone (302) 674-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140906000067 DE Practitioner - Certified Nurse Midwife (CNM) 6507936382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated to Women OB-GYN, P.a. CurrentSince May 8, 2016 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Oct 7, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Oct 7, 2024 Accepting new patients
Bayhealth Medical Center, Inc Current Accepting new patients

Locations

200 Banning St
Ste 320
Dover, DE 19904
Phone (302) 674-0223

640 S State St
Dover, DE 19901
Phone (302) 744-4700

909 Lakeview Ave
Milford, DE 19963
Phone (302) 422-6038

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1114196847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 E CAMDEN WYOMING AVE",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199341209",
            "telephone_number": "302-270-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E CAMDEN WYOMING AVE",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199341209",
            "telephone_number": "302-270-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S State St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013530",
            "country_code": "US",
            "telephone_number": "302-674-4700",
            "fax_number": "302-735-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KATHRYN",
        "middle_name": "F.L.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, DE

Sources for this page

Verify at the official NPI Registry.