Yolanda Blagrove, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1004721 Issued in DC

Practice address

801 Pennsylvania Ave SE
Washington, DC 20003-2167

Phone

(202) 796-0605

NPI assigned

Feb 17, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1003514258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 AFTON ST",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032167",
            "telephone_number": "202-796-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGROVE",
        "first_name": "YOLANDA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1004721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simmonitha Blackwell
• Taylor Kai Blackwell, MD
• Lydia Isabelle Blackwood-Ellis, PH.D.
• Phyllis Victoria Blackwood
• Raquel J Blades
• April L Blaine
• Benita Blaine, CERTIFIED PEER SPEC.
• Christina Blaine
• Daquann Bryant Blaine
• Deloris Blaine

• All providers in Washington, DC
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.