Active NPI
Kathryn A Blevins, RNC
- Women's Health Nurse Practitioner
- Cape Girardeau, MO
National Provider Identifier
1780635094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN099191
- Practice address
- Semo Nasv 69 Doctors' Park
Suite C
Cape Girardeau, MO 63703-4927 - Phone
- (573) 332-1900
- Fax
- (573) 332-0444
- NPI assigned
- May 12, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN099191 | MO | Primary |
Addresses
Primary practice location
Semo Nasv 69 Doctors' Park
Suite C
Cape Girardeau, MO 63703-4927
Mailing address
213 Cook Ave
Chaffee, MO 63740-1107
Phone (573) 887-6924
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN099191 | MO | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Network Against Sexual Violence Inc. | Past | 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 and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Jackson, MO
- NPI 1972556843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780635094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 COOK AVE",
"city": "CHAFFEE",
"state": "MO",
"postal_code": "637401107",
"telephone_number": "573-887-6924",
"fax_number": "573-332-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SEMO NASV 69 DOCTORS' PARK",
"address_2": "SUITE C",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034927",
"telephone_number": "573-332-1900",
"fax_number": "573-332-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEVINS",
"first_name": "KATHRYN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "RN099191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
- Martin Calvin Blake, M.D.
- Judee Lynn Bland, MD
- Megan J Blattel, FNP-BC
- Lori Blattner
- Blessed Margaret of Castello Health and Services
- Blue Sky Cimmunity Services
- Bluegrass Pharmabilling LLC
- Bluff Prosthetics & Orthotics, LLC D/B/a Semo Prosthetics & Orthotics
- Mollie Blume, FNP-C
- Amanda Jo Boatwright
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.