Jodi Lynn Blair, CNM APRN

Individual provider Active NPI Advanced Practice Midwife · Topeka, KS

NPI 1124437769 · NPPES record last updated Jul 7, 2021

Key facts

NPI
1124437769
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
53-64016-051 (KS)
Practice address
1109 SW Topeka Blvd
Topeka, KS 66612-1602
Phone
(785) 232-6950
Fax
(785) 232-4722
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
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. Current
since Jul 17, 2021
Accepting new patients
Topeka Birth Center, LLC Past Accepting new patients

Locations

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-46953-051 KS
Advanced Practice Midwife 367A00000X 64016 KS
Advanced Practice Midwife 367A00000X 53-64016-051 KS Yes

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

Other providers in Topeka, KS

All providers in Topeka, KS · Advanced Practice Midwife in Kansas

Sources for this page

Verify at the official NPI Registry.