Angela Lynn Blair, REGISTERED NURSE

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN186218 Issued in GA

Practice address

703 E 9TH St North
BDLG 4970 RM 319
Fort Stewart, GA 31314

Phone

(912) 435-1327

Fax

(912) 435-6151

NPI assigned

Sep 19, 2014

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1033511225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E 9TH ST NORTH",
            "address_2": "BDLG 4970 RM 319",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-1327",
            "fax_number": "912-435-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E 9TH ST NORTH",
            "address_2": "BDLG 4970 RM 319",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-1327",
            "fax_number": "912-435-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN186218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Darryl Bise, D.O.
• William Gerald Bissell, M.D.
• Bobbie Bivens
• Kyla Renae Blackshear, PA-C
• Dakota James Blackwelder, PA-STUDENT
• Leo Blair
• Mary Jane Blair, REGISTERED NURSE
• Jessica Blankenship, LPN
• Benjamin Scott Bledsoe, PSYD
• Kristina Denise Blessing, LPC, MAC

• Case Management Registered Nurse in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.