Active NPI
Blythe Elizabeth Cox, PA C
- Internal Medicine Physician
- Jackson, WY
National Provider Identifier
1003974262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 379
- Practice address
- 555 E Broadway
Suite 229
Jackson, WY 83001 - Phone
- (307) 732-1039
- Fax
- (307) 732-1041
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 379 | WY | Primary |
Addresses
Primary practice location
555 E Broadway
Suite 229
Jackson, WY 83001
Mailing address
PO Box 4771
Jackson, WY 83001
Phone (307) 734-9510
Other names 1
- Blythe E Kappus
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 379 | WY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003974262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4771",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-734-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E BROADWAY",
"address_2": "SUITE 229",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-732-1039",
"fax_number": "307-732-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "BLYTHE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WY",
"license": "379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLYTHE",
"last_name": "KAPPUS",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.