Organization Active NPI

Immanuel Birth Co., P.a.

  • Birthing Clinic/Center
  • Topeka, KS
National Provider Identifier
1366419392
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
0011686-002 Issued in KS
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

Updated by the provider on Nov 5, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100356600AMedicaidKS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2111406Immanuel Birth Co, PA1109 SW Topeka Blvd, Topeka, KS 66612Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.