Kyle Matthew Blevings, LAT, ATC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3012 Glenmore Ave Ste 104
Cincinnati, OH 45238-2258

Phone

(844) 584-7284

NPI assigned

Jul 7, 2016

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1164874715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 GLENMORE AVE STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 GLENMORE AVE STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382258",
            "telephone_number": "844-584-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINGS",
        "first_name": "KYLE",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000015073",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "AT 0000001766",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION (BOC)",
            "identifier": "2000015073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE DIVISION OF HEALTH RELATED BOARDS",
            "identifier": "AT 0000001766",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessing Angels LLC
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• Blessing Home Health Service
• Kathleen M Blessinger, RD
• Ashley Blevens
• Brittany Blevins
• Cherrie Blevins
• Nattasha M Blevins
• Tammy Blevins, FNP
• Lauren Eileen Blewett, MD

• Case Manager/Care Coordinator in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.