Kathryn Michele Blackport
Midwife
19991 Hall Rd Ste 105
Macomb
, Michigan 48044-4254
(586) 604-8350
Write a Review Share Save Call
About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Midwife
Languages spoken
- English
Location
First Address
- Kathryn Michele Blackport
- 3915 Elmhurst Ave
- Royal Oak, MI
- Zip : 48073-1862
- Phone : (586) 604-8350
Second Address
- Kathryn Michele Blackport
- 19991 Hall Rd Ste 105
- Macomb, MI
- Zip : 48044-4254
- Phone : (586) 247-8609
Reviews
FAQs
Where did Kathryn Michele Blackport attend graduate school?
Provider has not completed her profile. If you are Kathryn Michele Blackport, click here to claim your profile
Where did Kathryn Michele Blackport do her residency?
Provider has not completed her profile. If you are Kathryn Michele Blackport, click here to claim your profile
Where did Kathryn Michele Blackport do her fellowship?
Provider has not completed her profile. If you are Kathryn Michele Blackport, click here to claim your profile
Is Kathryn Michele Blackport board certified?
Provider has not completed her profile. If you are Kathryn Michele Blackport, click here to claim your profile
What type of doctor is Kathryn Michele Blackport
Midwife
In what state does Kathryn Michele Blackport practice in?
Michigan
Where is Kathryn Michele Blackport ’s practice located?
19991 Hall Rd Ste 105 , Macomb, Michigan, 48044-4254
What is Kathryn Michele Blackport ’s gender?
Female
Is Kathryn Michele Blackport a sole practitioner?
No
Is Kathryn Michele Blackport accepting new patients?
Provider has not completed her profile. If you are Kathryn Michele Blackport, click here to claim your profile
What languages does Kathryn Michele Blackport speak?
Provider has not completed her profile. If you are Kathryn Michele Blackport, click here to claim your profile
Does Kathryn Michele Blackport accept insurance?
Yes, Kathryn Michele Blackport accepts insurance
Does Kathryn Michele Blackport offers telemedicine?
Kathryn Michele Blackport has not indicated if she offers telemedicine
What is Kathryn Michele Blackport ’s professional license number?
Provider has not completed her profile. If you are Kathryn Michele Blackport, click here to claim your profile
What is Kathryn Michele Blackport ’s NPI number?
1104470079
Does Kathryn Michele Blackport have any license restrictions?
Provider has not completed her profile. If you are Kathryn Michele Blackport, click here to claim your profile
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 176B00000X | Midwife | 470407657 | MI |
National Provider Identifier
| NPI | 1104470079 |
|---|---|
| Provider Name | Kathryn Michele Blackport |
| First Address | Royal Oak, MI 48073-1862 |
| Second Address | Macomb, MI 48044-4254 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2019 |
| Last Update Date | 30/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers.
Subpart examples include: Hospital components include outpatient departments, surgical centers,
psychiatric units, and laboratories. These components are often separately licensed or certified by
States and may exist at physical locations other than that of the hospital of which they are a
component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if
an individual) or other name by which the organization provider is or has been known. The code
identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date
The date that a NPI record was last updated or changed
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the PI application or to officially change data for a health care provider.