Kathryn Michele Blackport, MSN, CNM
NPI 1104470079ActiveIndividual· Advanced Practice Midwife· Royal Oak, MI
Advanced Practice Midwife (MSN, CNM) in Royal Oak, Michigan, licensed in MI, with an NPI issued in July 2019.
Overview
| NPI | 1104470079 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, CNM |
| Sole proprietor | No |
| NPI issued | Jul 30, 2019 |
| Last updated in NPPES | Jul 19, 2023 |
| Certified by provider | Jul 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | 4704307657 | MI |
| Midwife | 176B00000X | 470407657 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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