Individual provider Active NPI

Jenifer Elizabeth Wood, CPM

  • Midwife
  • Colby, KS
National Provider Identifier
1205484474
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
19080020
Practice address
600 S Mission Ridge Ave Apt 11
Colby, KS 67701-3248
Phone
(785) 443-4048
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 19080020 Primary

Addresses

Primary practice location

600 S Mission Ridge Ave Apt 11
Colby, KS 67701-3248

Mailing address

600 S Mission Ridge Ave Apt 11
Colby, KS 67701-3248
Phone (785) 443-4048

Other identifiers 1

IdentifierTypeStateIssuer
19080020OtherNARM

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

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1205484474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MISSION RIDGE AVE APT 11",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013248",
            "telephone_number": "785-443-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MISSION RIDGE AVE APT 11",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013248",
            "telephone_number": "785-443-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": "19080020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARM",
            "identifier": "19080020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.