Individual provider Active NPI

Katherine O'Reilly

  • Advanced Practice Midwife
  • Moab, UT
National Provider Identifier
1902290588
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0000339-C-CNM Issued in CO
Practice address
51 North Mt.Peale
Moab, UT 84532
Phone
(435) 260-2676
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 5521431-4402 UT
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X 0000339-C-CNM CO Primary

Addresses

Primary practice location

51 North Mt.Peale
Moab, UT 84532

Mailing address

51 S North Mt.Peale
Moab, UT 84532
Phone (435) 260-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150602002822 CO Practitioner - Certified Nurse Midwife (CNM) 3678736378 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 25 Rd
Grand Junction, CO 81505-1202
Phone (970) 298-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000339-C-CNMCOMDAdvanced Practice Midwife
5521431-4402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Hospital and Medical Center, Inc CurrentSince Jun 17, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Single Specialty CurrentSince Jan 1, 2018 Accepting new patients
Obhg Colorado, P.C. Single Specialty CurrentSince Mar 24, 2016 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Single Specialty Current Accepting new patients
St Mary'S Hospital and Medical Center, Inc CurrentSince Jun 17, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 1, 2018 Accepting new patients
St. Mary'S Hospital and Medical Center, Inc. Past Accepting new patients

Locations

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

610 25 Rd
Grand Junction, CO 81505
Phone (970) 298-9600

2241 N 7th St
Grand Junction, CO 81501
Phone (970) 235-1938

2525 N 8th St
Ste 202
Grand Junction, CO 81501
Phone (970) 245-1168

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Interoperability endpoints

  • Direct secure messaging: katherine.o.reilly.1@17164.direct.athenahealth.com

Organizations & group practices 8

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1902290588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S NORTH MT.PEALE",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "84532",
            "telephone_number": "435-260-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NORTH MT.PEALE",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "84532",
            "telephone_number": "435-260-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "5521431-4402",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "0000339-C-CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

Verify at the official NPI Registry.