Individual provider Active NPI

Jolynn Faith Bofah, DNP, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
National Provider Identifier
1750200549
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000535A Issued in IN
Practice address
5629 Lee Rd
Indianapolis, IN 46216-2003
Phone
(317) 419-6800
NPI assigned
Jul 14, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28259407A IN
Advanced Practice Midwife 367A00000X 09000535A IN Primary

Addresses

Primary practice location

5629 Lee Rd
Indianapolis, IN 46216-2003

Mailing address

5629 Lee Rd
Indianapolis, IN 46216-2003
Phone (317) 419-6800

Other practice location 1

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 419-6800

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
28259407AINMDObstetrics & Gynecology Physician
09000535AINMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1750200549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003",
            "telephone_number": "317-419-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003",
            "telephone_number": "317-419-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13861 Olio Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460373487",
            "country_code": "US",
            "telephone_number": "317-419-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOFAH",
        "first_name": "JOLYNN",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "28259407A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000535A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.