Active NPI
Regina Beth Kizer, DNP, CNM
- Obstetrics Physician
- Springfield, MO
National Provider Identifier
1578062436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- CNM03885
- Practice address
- 1901 S Ventura Ave Ste B
Springfield, MO 65804-2700 - Phone
- (417) 231-1100
- NPI assigned
- Feb 6, 2018
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | CNM03885 | OK | Primary |
Addresses
Primary practice location
1901 S Ventura Ave Ste B
Springfield, MO 65804-2700
Mailing address
11702 E 105TH PL N
Owasso, OK 74055-6693
Phone (918) 527-5716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250103001277 | TX | Practitioner - Certified Nurse Midwife (CNM) | 5799213799 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM03885 | OK | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breathe Birth & Wellness, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Birthing Clinic/Center
- Tulsa, OK
- NPI 1275016305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1578062436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11702 E 105TH PL N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740556693",
"telephone_number": "918-527-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S VENTURA AVE STE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042700",
"telephone_number": "417-231-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZER",
"first_name": "REGINA",
"middle_name": "BETH",
"credential": "DNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "OK",
"license": "CNM03885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.