Individual provider Active NPI

Kathleen Marie Embree, CNM, MSN

  • Midwife
  • Yuma, AZ
National Provider Identifier
1821390931
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
AP3863 Issued in AZ
Practice address
2911 S 8TH Ave
Yuma, AZ 85364-8000
Phone
(928) 783-3050
NPI assigned
Nov 22, 2010
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X AP3863 AZ Primary

Addresses

Primary practice location

2911 S 8TH Ave
Yuma, AZ 85364-8000

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7170
Phone (928) 344-2000

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
I20220822002746 AZ Practitioner - Certified Nurse Midwife (CNM) 6507249620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2911 S 8TH Ave
Yuma, AZ 85364-8000
Phone (928) 783-3050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Walk-in Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince Sep 16, 2022 Accepting new patients
Yuma Regional Medical Center CurrentSince Sep 16, 2022 Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients
San Luis Walk-in Clinic, Inc. PastSince May 17, 2020 Accepting new patients
Sunset Community Health Center Inc Past Accepting new patients
Surendher Lokareddy MDPC Midwife PastSince Jan 1, 1998 Accepting new patients

Locations

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2911 S 8th Ave
Yuma, AZ 85364
Phone (928) 783-3050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations & group practices 9

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

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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1821390931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647170",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 S 8TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648000",
            "telephone_number": "928-783-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBREE",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "AP3863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.