Rebecca M Otte, C.N.M.

Individual provider Active NPI Advanced Practice Midwife · Topeka, KS

NPI 1194782151 · NPPES record last updated Oct 28, 2010

Key facts

NPI
1194782151
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
64015 (KS)
Practice address
800 SW Lincoln St
Topeka, KS 66606-1515
Phone
(785) 233-5101
Fax
(785) 233-1404
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
64015KSMDAdvanced Practice Midwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 64015 KS Yes

Addresses

Primary practice location

800 SW Lincoln St
Topeka, KS 66606-1515

Mailing address

800 SW Lincoln St
Topeka, KS 66606-1515
Phone (785) 233-5101

Other identifiers

IdentifierTypeStateIssuer
100338880AMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 28, 2010.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1194782151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW LINCOLN ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061515",
            "telephone_number": "785-233-5101",
            "fax_number": "785-233-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW LINCOLN ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061515",
            "telephone_number": "785-233-5101",
            "fax_number": "785-233-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTE",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "64015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100338880A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.