Active NPI
Deborah Elaine Bliss, ACNP
- Acute Care Nurse Practitioner
- Edgewood, KY
National Provider Identifier
1013059559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- COA.06835-NP
- Practice address
- 1 Medical Village Drive
St. Elizabeth Healthcare
Edgewood, KY 41017-3403 - Phone
- (859) 301-2000
- Fax
- (859) 301-6900
- NPI assigned
- Feb 13, 2007
- Last updated
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP-3855P | KY | |
| Acute Care Nurse Practitioner | 363LA2100X | COA.06835-NP | OH | Primary |
Addresses
Primary practice location
1 Medical Village Drive
St. Elizabeth Healthcare
Edgewood, KY 41017-3403
Mailing address
350 Thomas More Parkway
St. Elizabeth Healthcare, Suite 280
Crestview Hills, KY 41017
Phone (859) 426-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP-06835 | Other | OH | OHIO NP LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-3855P | KY | MD | Acute Care Nurse Practitioner |
| COA.06835-NP | OH | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1013059559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 THOMAS MORE PARKWAY",
"address_2": "ST. ELIZABETH HEALTHCARE, SUITE 280",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-426-0800",
"fax_number": "859-578-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL VILLAGE DRIVE",
"address_2": "ST. ELIZABETH HEALTHCARE",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173403",
"telephone_number": "859-301-2000",
"fax_number": "859-301-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "DEBORAH",
"middle_name": "ELAINE",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "NP-3855P",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA.06835-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO NP LICENSE",
"identifier": "NP-06835",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
- Flynn Charles Blanchet, MD
- Kristie L Blanchet
- Brittany Jean Blankenship, APRN
- April Bleecker, RBT
- Jennifer Marie Bleser, CRNA
- Bluegrass Behavioral Health Group, LLC (Cultivate Behavioral Health and Education)
- Jayne Bodenbach, APRN
- Kathy Ann Boehmer, PT
- Perry Kent Bohanon, MSN, APRN, BC
- James R Bohrer, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.