Individual provider Active NPI

Kathleen Reilly Casey, CNM

  • Advanced Practice Midwife
  • Mesa, AZ
National Provider Identifier
1508508763
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
273570 Issued in AZ
Practice address
2152 S Vineyard Ste 138
Mesa, AZ 85210-6882
Phone
(480) 539-6646
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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 273570 AZ Primary

Addresses

Primary practice location

2152 S Vineyard Ste 138
Mesa, AZ 85210-6882

Mailing address

4138 E Lexington Ave
Gilbert, AZ 85234-0726
Phone (360) 880-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220906002258 AZ Practitioner - Certified Nurse Midwife (CNM) 9638553928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273570AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Perinatal Services, LLC Advanced Practice Midwife CurrentSince Sep 1, 2024 Accepting new patients
Boojum Obstetrics and Gynecology CurrentSince Aug 17, 2022 Accepting new patients
Fetal and Women'S Center of Arizona, LLC PastSince Sep 1, 2024 Accepting new patients

Locations

1727 W Frye Rd
Ste 140
Chandler, AZ 85224
Phone (480) 619-4097

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

3367 S Mercy Rd
Ste 207
Gilbert, AZ 85297
Phone (480) 855-5900

2152 S Vineyard
Ste 138
Mesa, AZ 85210
Phone (480) 539-6646

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kathleen.casey.1@20219.direct.athenahealth.com

Organizations & group practices 3

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1508508763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 E LEXINGTON AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340726",
            "telephone_number": "360-880-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD STE 138",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106882",
            "telephone_number": "480-539-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "KATHLEEN",
        "middle_name": "REILLY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "273570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.