Individual provider Active NPI

Jodi Lynn Blair, CNM APRN

  • Advanced Practice Midwife
  • Topeka, KS
National Provider Identifier
1124437769
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
53-64016-051 Issued in KS
Practice address
1109 SW Topeka Blvd
Topeka, KS 66612-1602
Phone
(785) 232-6950
Fax
(785) 232-4722
NPI assigned
Aug 7, 2014
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 13-46953-051 KS
Advanced Practice Midwife 367A00000X 64016 KS
Advanced Practice Midwife 367A00000X 53-64016-051 KS Primary

Addresses

Primary practice location

1109 SW Topeka Blvd
Topeka, KS 66612-1602

Mailing address

1109 SW Topeka Blvd
Topeka, KS 66612-1602
Phone (785) 232-6950

Other practice location 1

1412 SW 6th Ave
Topeka, KS 66606-1529
Phone (785) 232-6950

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

State licenses

LicenseStateTypeSpecialty
13-46953-051KSMDRegistered Nurse
53-64016-051KSMDAdvanced Practice Midwife
64016KSMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Immanuel Birth Co., P.a. CurrentSince Jul 17, 2021 Accepting new patients
Topeka Birth Center, LLC Past Accepting new patients

Locations

1109 SW Topeka Blvd
Topeka, KS 66612
Phone (785) 232-6950

1412 SW 6th Ave
Topeka, KS 66606
Phone (785) 232-6950

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1124437769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121602",
            "telephone_number": "785-232-6950",
            "fax_number": "785-232-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121602",
            "telephone_number": "785-232-6950",
            "fax_number": "785-232-4722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061529",
            "country_code": "US",
            "telephone_number": "785-232-6950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "CNM APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-46953-051",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "64016",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "53-64016-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.