Crystal Lynn Blanding, CNA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4953 Schaefer Rd
Dearborn, MI 48126-3260

Phone

(800) 789-3062

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1093463820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4296 BANGOR ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103173",
            "telephone_number": "313-719-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263260",
            "telephone_number": "800-789-3062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4296 Bangor St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482103173",
            "country_code": "US",
            "telephone_number": "313-719-7413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANDING",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230008874521103",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floanna Black, MA, TLLP
• Genette Clair Black, CNM
• Kyla Blackwell
• Heather M Blake, NNP
• Marie B Blanarova, CRNA
• Nimrod Blank, M.D.
• Joyce M Blazejewski, M.D.
• Daniel Blazo, D.D.S
• James C Blevins, BCBA, LBA
• Bloom Bridge Health

• Behavior Technician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.