Active NPI
Immanuel Birth Co., P.a.
- Birthing Clinic/Center
- Topeka, KS
National Provider Identifier
1366419392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- License
- 0011686-002
- Legal business name
- IMMANUEL BIRTH CO., P.A.
- Practice address
- 1109 SW Topeka Blvd
Topeka, KS 66612-1602 - Phone
- (785) 232-6950
- Fax
- (785) 232-4722
- NPI assigned
- Mar 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly A Greene
- Title
- Office Administrator
- Phone
- (785) 232-6950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | 0011686-002 | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100356600A | Medicaid | KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2111406 | Immanuel Birth Co, PA | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1109 SW Topeka Blvd
Topeka, KS 66612
Phone (785) 232-6950
1412 SW 6th Ave
Topeka, KS 66606
Phone (785) 232-6950
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Topeka, KS
- NPI 1124437769
-
- Advanced Practice Midwife
- Topeka, KS
- NPI 1619275120
-
- Advanced Practice Midwife
- Topeka, KS
- NPI 1750838645
-
- Nurse Practitioner
- Topeka, KS
- NPI 1386612984
-
- Obstetrics & Gynecology Physician
- Topeka, KS
- NPI 1356318372
-
- Advanced Practice Midwife
- Topeka, KS
- NPI 1184691180
-
- Advanced Practice Midwife
- Denton, TX
- NPI 1487150108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1366419392",
"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": [],
"basic": {
"organization_name": "IMMANUEL BIRTH CO., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-08",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "785-232-6950"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": "KS",
"license": "0011686-002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100356600A",
"state": "KS"
}
],
"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 Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.