IndividualActive
Kathryn Blackport, MSN, CNM
NPI 1104470079 · Advanced Practice Midwife · Royal Oak, MI
Provider details
- NPI number
- 1104470079
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 470407657 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Other Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-4021
Street-level locationGet directions
Mailing address
3915 Elmhurst Ave
Royal Oak, MI 48073-1862
Additional practice locations (2)
- 19991 Hall Rd Ste 105Macomb, MI 48044-4254Phone: (586) 247-8609
- 3535 W 13 Mile Rd Ste 140Royal Oak, MI 48073-6770Phone: (248) 551-3000
Registry dates
- Enumerated
- 2019-07-30
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.