Individual provider Active NPI

Kathryn Marie Gower O'Reilly, CNM

  • Advanced Practice Midwife
  • Columbia, MD
National Provider Identifier
1548037112
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R226733 Issued in MD
Practice address
4973 Columbia Rd Apt 303
Columbia, MD 21044-5666
Phone
(813) 546-9933
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X R226733 MD
Advanced Practice Midwife 367A00000X R226733 MD Primary

Addresses

Primary practice location

4973 Columbia Rd Apt 303
Columbia, MD 21044-5666

Mailing address

4973 Columbia Rd Apt 303
Columbia, MD 21044-5666
Phone (813) 546-9933

Other practice location 1

14995 Shady Grove Rd # 410
Rockville, MD 20850-8726
Phone (813) 546-9933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325000516 DC Practitioner - Nurse Practitioner 2567809783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

14995 Shady Grove Rd
Suite 410
Rockville, MD 20850-8726
Phone (301) 294-8525

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R226733MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 12, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 12, 2024 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Behram & Behram Sglac, P.C. PastSince Mar 16, 2024 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

14995 Shady Grove Rd
Ste 410
Rockville, MD 20850
Phone (301) 294-2585

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kathryn.oreilly.1@8042.direct.athenahealth.com

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": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1548037112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4973 COLUMBIA RD APT 303",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445666",
            "telephone_number": "813-546-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4973 COLUMBIA RD APT 303",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445666",
            "telephone_number": "813-546-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14995 Shady Grove Rd # 410",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208508726",
            "country_code": "US",
            "telephone_number": "813-546-9933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "KATHRYN",
        "middle_name": "MARIE GOWER",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "MD",
            "license": "R226733",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R226733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.