Active NPI
Kathryn Elizabeth Mowery, CNM
- Midwife
- Marion, IL
National Provider Identifier
1487809877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 209007355
- Practice address
- 3408 Office Park Dr
Marion, IL 62959-6477 - Phone
- (618) 997-5266
- Fax
- (618) 997-5285
- NPI assigned
- Nov 26, 2008
- 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 | 209007355 | IL | Primary |
Addresses
Primary practice location
3408 Office Park Dr
Marion, IL 62959-6477
Mailing address
3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209007355 | IL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1487809877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 OFFICE PARK DR",
"city": "MARION",
"state": "IL",
"postal_code": "629596477",
"telephone_number": "618-997-5266",
"fax_number": "618-997-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 OFFICE PARK DR",
"city": "MARION",
"state": "IL",
"postal_code": "629596477",
"telephone_number": "618-997-5266",
"fax_number": "618-997-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWERY",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "IL",
"license": "209007355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.