Individual provider Active NPI

Rebekah Blythe, C.P.M.

  • Midwife
  • Durango, CO
National Provider Identifier
1891192571
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
M.W.R.0000159 Issued in CO
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

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
M.W.R.0000159COMDMidwife
14130RNMMDMidwife

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.

Verify at the official NPI Registry.