Jennifer Chrystal Brotton
Individual provider Active NPI Midwife · Raytown, MO
NPI 1083544258 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1083544258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- Practice address
- 10412 E 69TH St Raytown Mo 64133
Raytown, MO 64133 - Phone
- (816) 530-5445
- Fax
- (816) 530-5445
- NPI assigned
- May 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | KS | Yes | |
| Midwife | 176B00000X | MO |
Addresses
Primary practice location
10412 E 69TH St Raytown Mo 64133
Raytown, MO 64133
Mailing address
10412 E 69TH St Raytown Mo 64133
Raytown, MO 64133
Phone (816) 530-5445
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.