Suzanne Morris Blakeley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19088 Issued in SC

Practice address

306 Airport Dr
Moncks Corner, SC 29461-2629

Phone

(843) 761-8272

NPI assigned

Oct 31, 2014

Last updated

Jul 7, 2023By the provider in NPPES

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohio Valley Physicians Inc

  dba OVP Health

  • Family Medicine Physician
  • Florence, SC
  • NPI 1710418553
  Medicare reassignment NPD
• Ohio Valley Physicians Inc

  dba OVP Health

  • Rural Health Clinic/Center
  • Eastern, KY
  • NPI 1164129599
  NPD

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1053716167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080390",
            "telephone_number": "304-429-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 AIRPORT DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612629",
            "telephone_number": "843-761-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Commerce Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Pawleys Island",
            "state": "SC",
            "postal_code": "295856052",
            "country_code": "US",
            "telephone_number": "843-894-0978",
            "fax_number": "843-894-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKELEY",
        "first_name": "SUZANNE",
        "middle_name": "MORRIS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Bert, DPT
• Faith Bevins, PTA
• Bi-Lo Pharmacy
• Julie Black
• Jordan Blackstone, PHARMD
• Sophia Bay Blumberg, BS
• Laronda Boddie
• Ruston George Boland, R.PH.
• Lindsay K Bolster, LPC
• Steven E Book, DC

• Family Nurse Practitioner in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.