Active NPI
Rebekah Blythe, C.P.M.
- Midwife
- Durango, CO
National Provider Identifier
1891192571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- M.W.R.0000159
- Practice address
- 679 E 2ND Ave Ste 4/5
Durango, CO 81301-5563 - Phone
- (970) 749-4497
- NPI assigned
- Nov 25, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | M.W.R.0000159 | CO | Primary |
| Midwife | 176B00000X | 14130R | NM |
Addresses
Primary practice location
679 E 2ND Ave Ste 4/5
Durango, CO 81301-5563
Mailing address
57 County Road 515
Ignacio, CO 81137-8709
Phone (970) 749-4497
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M.W.R.0000159 | CO | MD | Midwife |
| 14130R | NM | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1891192571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 COUNTY ROAD 515",
"city": "IGNACIO",
"state": "CO",
"postal_code": "811378709",
"telephone_number": "970-749-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 E 2ND AVE STE 4/5",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015563",
"telephone_number": "970-749-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYTHE",
"first_name": "REBEKAH",
"credential": "C.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CO",
"license": "M.W.R.0000159",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NM",
"license": "14130R",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.