Kathryn Michele Blackport, MSN, CNM
Advanced Practice Midwife in Royal Oak, MI. Individual provider (NPI-1).
NPI number1104470079
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1104470079
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Michele Blackport
- Credential
- MSN, CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2019
- Certification date
- Jul 19, 2023
- Last updated
- Jul 19, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704307657 | MI | Yes |
| 176B00000X | Midwife | 470407657 | MI |
Other names
- Kathryn Reading (Former Name)
Practice location
3601 W 13 Mile RdRoyal Oak, MI 48073-6712
Phone 248-898-4021
Mailing address
3915 Elmhurst AveRoyal Oak, MI 48073-1862
Phone 586-604-8350
Other practice locations
19991 Hall Rd Ste 105
Macomb, MI 48044-4254
Macomb, MI 48044-4254
Phone 586-247-8609
3535 W 13 Mile Rd Ste 140
Royal Oak, MI 48073-6770
Royal Oak, MI 48073-6770
Phone 248-551-3000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Advanced Practice Midwife providers in Royal Oak, MI
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All 19 Advanced Practice Midwife providers in Royal Oak · All 4,589 providers in Royal Oak
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