Charlene Lydia Blaine

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

9500533 Issued in NC

Legal business name

CHARLENE LYDIA BLAINE

Practice address

11048 Cleveland Road
Suite 101-102
Garner, NC 27529

Phone

(919) 359-9920

Fax

(919) 359-2520

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene Lydia Blaine, CRT, RCP

Title

President

Phone

(919) 359-9920

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Respi-Test Independent Lab Doing business as

Locations

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1063403160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048 CLEVELAND ROAD",
            "address_2": "SUITE 101-102",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-359-9920",
            "fax_number": "919-359-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11048 CLEVELAND ROAD",
            "address_2": "SUITE 101-102",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-359-9920",
            "fax_number": "919-359-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLENE LYDIA BLAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BLAINE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "LYDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-359-9920",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT, RCP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "9500533",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "9500533",
            "primary": false
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": "NC",
            "license": "A-4125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "017PY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "37119",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "429202",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3500316",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902258",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Respi-Test Independent Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lena Diane Chambers
• Emily Chambliss, MSW, LCSW
• Latoya Mayer Chancey, LPCA
• George Daniel Chandler Jr., PTA
• Rachel Lynn Chandler, MPAS
• Charles Ashley Mann DDS PA 2
• Stephanie L Chartier, MS, OTR/L
• Qur'an Chavies
• Hsin Chen
• Kayla Cheyno

• Pulmonary Disease Physician in Garner, NC
• Providers in Garner, NC by specialty
• Pulmonary Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.