Kathleen Mark, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

1924744402 Issued in UT

Practice address

1525 East 6000 South
South Ogden, UT 84405

Phone

(801) 337-5800

Fax

(801) 337-5809

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• Circle of Life Inc

  • Obstetrics & Gynecology Physician
  • South Ogden, UT
  • NPI 1548284078
  Medicare reassignment NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1851314389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 EAST 6000 SOUTH",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-337-5800",
            "fax_number": "801-337-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 EAST 6000 SOUTH",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-337-5800",
            "fax_number": "801-337-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "KATHLEEN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "UT",
            "license": "1924744402",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "192474-4402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0895",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160009437",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M. Scott Major M.D. (Wasatch ENT and Allergy)
• Maleya Mackey, RBT
• Monique Adamaris Magana
• Kassidy Campbell Mahoskey, LCSW
• Michael Scott Major, M.D.
• Jessica Marquez, RBT
• Ashley Marsh, RBT
• Cydney Marshall
• Joana Martinez, TRT
• Haileigh Mason, APRN

• Midwife in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Midwife in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.