Active NPI
Toni Rochelle Blair, LPN
- Homemaker
- Waverly, OH
National Provider Identifier
1053616508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 101 Circleview Dr
Waverly, OH 45690-9410 - Phone
- (740) 970-2130
- NPI assigned
- Jan 13, 2011
- Last updated
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | NU | Primary | |
| Licensed Practical Nurse | 164W00000X | PN.140663-M-IV | OH |
Addresses
Primary practice location
101 Circleview Dr
Waverly, OH 45690-9410
Mailing address
101 Circleview Dr
Waverly, OH 45690-9410
Phone (740) 970-2130
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 |
|---|---|---|---|
| PN.140663-M-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1053616508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CIRCLEVIEW DR",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456909410",
"telephone_number": "740-970-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CIRCLEVIEW DR",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456909410",
"telephone_number": "740-970-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "TONI",
"middle_name": "ROCHELLE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.140663-M-IV",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.