Active NPI
Blair Joelle Freed, DO
- Obstetrics & Gynecology Physician
- Joplin, MO
National Provider Identifier
1760111652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2026033889
- Practice address
- 100 Mercy Way
Joplin, MO 64804-4524 - Phone
- (417) 624-2621
- NPI assigned
- Jun 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2026033889 | MO | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 5151015924 | MI |
Addresses
Primary practice location
100 Mercy Way
Joplin, MO 64804-4524
Mailing address
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 624-2621
Other practice location 1
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bfreed@kansascity.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220727003816 | MI | Order and Referring Only - Obstetrics/Gynecology | 6608258322 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1760111652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-624-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-624-2621"
}
],
"practiceLocations": [
{
"address_1": "44405 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483415023",
"country_code": "US",
"telephone_number": "248-858-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREED",
"first_name": "BLAIR",
"middle_name": "JOELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2026033889",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5151015924",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bfreed@kansascity.edu",
"affiliation": "N",
"address_1": "44405 Woodward Ave",
"city": "Pontiac",
"state": "MI",
"country_code": "US",
"postal_code": "483415023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.