Active NPI
Landon J Blankenship, APRN, FNP-BC
- Family Nurse Practitioner
- Beckley, WV
National Provider Identifier
1003278722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN61531NP
- Practice address
- 456 Cranberry Dr
Beckley, WV 25801-8560 - Phone
- (304) 255-6404
- Fax
- (304) 255-6494
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN61531NP | WV | Primary |
Addresses
Primary practice location
456 Cranberry Dr
Beckley, WV 25801-8560
Mailing address
456 Cranberry Dr
Beckley, WV 25801-8560
Phone (304) 255-6404
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN61531NP | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Southern WV Dba Palliative Care of Southern West Virginia | Family | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Beckley, WV
- NPI 1790224400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1003278722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 CRANBERRY DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258018560",
"telephone_number": "304-255-6404",
"fax_number": "304-255-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 CRANBERRY DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258018560",
"telephone_number": "304-255-6404",
"fax_number": "304-255-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "LANDON",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN61531NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.