Deonta Lashea Blount, LPN

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

LPN072168 Issued in GA

Practice address

798 Rays Rd Ste 100
Stone Mountain, GA 30083-3144

Phone

(470) 736-9644

Fax

(404) 549-3151

NPI assigned

Jun 28, 2022

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

Electronic endpoints 1

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1083346001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 RAYS RD STE 100",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833144",
            "telephone_number": "470-736-9644",
            "fax_number": "404-549-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 RAYS RD STE 100",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833144",
            "telephone_number": "470-736-9644",
            "fax_number": "404-549-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "DEONTA",
        "middle_name": "LASHEA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "GA",
            "license": "LPN072168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@prepservices.net",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "798 Rays Rd Ste 100",
            "city": "Stone Mountain",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300833144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Health Clinic/Center in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Community Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.