Active NPI
Leigh Ann Blendowski
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, SC
National Provider Identifier
1104275148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 23247
- Practice address
- 3555 Harden Street Ext Ste 141
Columbia, SC 29203-6894 - Phone
- (803) 434-4300
- NPI assigned
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 219948 | SC | |
| Nurse Practitioner | 363L00000X | 23247 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 23247 | SC | Primary |
Addresses
Primary practice location
3555 Harden Street Ext Ste 141
Columbia, SC 29203-6894
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 434-4300
Other practice location 1
215 Town Creek Rd
Aiken, SC 29803-5843
Phone (803) 508-7651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCG209A634 | Other | SC | MEDICARE PART B |
| NP6273 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219948 | SC | MD | Registered Nurse |
Interoperability endpoints
- lblendowski503284@direct.ghs.myhfn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1104275148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "803-434-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 HARDEN STREET EXT STE 141",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036894",
"telephone_number": "803-434-4300"
}
],
"practiceLocations": [
{
"address_1": "215 Town Creek Rd",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298035843",
"country_code": "US",
"telephone_number": "803-508-7651",
"fax_number": "803-508-7655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLENDOWSKI",
"first_name": "LEIGH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "219948",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "23247",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "23247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "SCG209A634",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP6273",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.