Jennifer Ann Konkol, CPM, CLC, BSW

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

3271 Roger PL
Saint Louis, MO 63116-3838

Phone

(618) 610-4777

Fax

(618) 462-0603

NPI assigned

Sep 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1336456409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 ALBY ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024401",
            "telephone_number": "618-610-4777",
            "fax_number": "618-462-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 ROGER PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163838",
            "telephone_number": "618-610-4777",
            "fax_number": "618-462-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKOL",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CPM, CLC, BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN REGISTRY OF MIDWIVES - CERTIFIED PROFESSIONAL MIDWIFE CERT #",
            "identifier": "10030014",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamuna Reddy Kondapally, MD
• Jamie Lynn Kondis, MD
• Andrew Paul Kong, MD
• Daniel Kong
• Deborah Konkol, M.D.
• Mary Konnesky, LCSW
• Sarah Jane Konopka, MS CCC-SLP
• Steven Gerard Konopka, LCSW
• Katerina Sunn Konstantinoff, MD
• Kevin L Konzen, MD

• Midwife in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Midwife in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.