Active NPI
Jill Lynn Nobles-Botkin, CNM
- Advanced Practice Midwife
- Oklahoma City, OK
National Provider Identifier
1750595161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R0047701
- Practice address
- 1000 NE 10TH St
Oklahoma City, OK 73117-1207 - Phone
- (405) 271-4476
- Fax
- (405) 271-9202
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R0047701 | OK | Primary |
Addresses
Primary practice location
1000 NE 10TH St
Oklahoma City, OK 73117-1207
Mailing address
6204 Greenwood LN
Oklahoma City, OK 73132-5629
Phone (405) 470-1562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1800477 | Medicaid | OK |
Other names 1
- Jill Lynn Nobles
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)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0047701 | OK | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1750595161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6204 GREENWOOD LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731325629",
"telephone_number": "405-470-1562",
"fax_number": "405-947-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NE 10TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171207",
"telephone_number": "405-271-4476",
"fax_number": "405-271-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLES-BOTKIN",
"first_name": "JILL",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OK",
"license": "R0047701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1800477",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "NOBLES",
"middle_name": "LYNN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.