Kathryn Gretchen Dirks, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

RN261804 Issued in GA

Practice address

4625 Lindell Blvd FL 2
Saint Louis, MO 63108-3739

Phone

(914) 919-9200

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.dirks.1@25307.direct.athenahealth.com

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.

• Grady Memorial Hospital Corporation

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment NPD
• Grady Memorial Hospital Corporation

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD
• Abc Midwifery Clinic LLC

  • Advanced Practice Midwife
  • Atlanta, GA
  • NPI 1881145290
  NPD (past)
• Atlanta Birth Center

  • Birthing Clinic/Center
  • Atlanta, GA
  • NPI 1295180305
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1821581612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 PARK AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123452",
            "telephone_number": "440-935-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD FL 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083739",
            "telephone_number": "914-919-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5780 Peachtree Dunwoody Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421554",
            "country_code": "US",
            "telephone_number": "404-255-8022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "KATHRYN",
        "middle_name": "GRETCHEN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "CNM04860",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN261804",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN261804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Directlabs Diagnostics, LLC
• Directlife Health Solutions LLC
• Director
• Michael N Diringer, MD
• Haley Elizabeth Dirkes-Jacks, LMSW
• Nicole Dirnbeck
• Disability Determinations
• Wendolyn M Disalvo, M.D.
• Discovering Options
• Disease Management Consulting,LLC

• Midwife in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Midwife in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.