Individual provider Active NPI

Kelly Wong McGrath, CNM, NP, RN

  • Midwife
  • San Francisco, CA
National Provider Identifier
1942731856
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
236080 Issued in CA
Practice address
637 Irving St
San Francisco, CA 94122-2401
Phone
(415) 234-3144
Fax
(415) 366-0469
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 824969 CA
Adult Health Nurse Practitioner 363LA2200X 95001388 CA
Midwife 176B00000X 236080 CA Primary

Addresses

Primary practice location

637 Irving St
San Francisco, CA 94122-2401

Mailing address

637 Irving St
San Francisco, CA 94122-2401
Phone (415) 234-3144

Other names 1

  • Kelly Wong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
824969CAMDRegistered Nurse
236080CAMDMidwife
95001388CAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1942731856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 IRVING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222401",
            "telephone_number": "415-234-3144",
            "fax_number": "415-366-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 IRVING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222401",
            "telephone_number": "415-234-3144",
            "fax_number": "415-366-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG MCGRATH",
        "first_name": "KELLY",
        "credential": "CNM, NP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "824969",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95001388",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "236080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.