Individual provider Active NPI

Katrina Adele Gubler, CNM

  • Advanced Practice Midwife
  • St George, UT
National Provider Identifier
1740574433
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
288568-4402 Issued in UT
Practice address
295 S 1470 E Ste 300
St George, UT 84790-1962
Phone
(435) 674-0999
Fax
(435) 674-0960
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 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 288568-4402 UT Primary

Addresses

Primary practice location

295 S 1470 E Ste 300
St George, UT 84790-1962

Mailing address

295 S 1470 E Ste 300
St George, UT 84790-1962
Phone (435) 674-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20120209000313 UT Practitioner - Certified Nurse Midwife (CNM) 9234306259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St George OBGYN LLCGroup PAC ID 3173793841, 6 clinicians

Practice addresses (Care Compare)

295 S 1470
Suite 300
St George, UT 84790-1962
Phone (435) 674-0999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. George OBGYN LLC CurrentSince Jan 23, 2012 Accepting new patients
Valley Obstetrics and Gynecology, PC PastSince Jan 23, 2012 Accepting new patients

Locations

295 S 1470 E
Ste 300
St George, UT 84790
Phone (435) 674-0999

515 S 300 E
Ste 205
St George, UT 84770
Phone (435) 674-0999

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1740574433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901962",
            "telephone_number": "435-674-0999",
            "fax_number": "435-674-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901962",
            "telephone_number": "435-674-0999",
            "fax_number": "435-674-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBLER",
        "first_name": "KATRINA",
        "middle_name": "ADELE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "288568-4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.