Angie Marrie Blunk, ND

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Practice address

1177 E Broadway
Louisville, KY 40204-1711

Phone

(502) 938-7685

NPI assigned

Oct 18, 2024

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1174344683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 OLD FOREST RD SW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471126440",
            "telephone_number": "502-938-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041711",
            "telephone_number": "502-938-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNK",
        "first_name": "ANGIE",
        "middle_name": "MARRIE",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "KY",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Training and Therapy Center
• Bluegrass Wound Consultants
• Bradley V Bluestone, ATC
• Stephanie Blum, OTR/L
• Amanda Kristen Blume, APRN
• Christian Blunk, RBT
• Stephanie A Blunk, COTA/L
• Mary Elizabeth Bluthardt, PHARMD, MBA
• Blystone Dental PLLC
• Jenna Marcum Blyth, SLP

• Public Health & General Preventive Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Public Health & General Preventive Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.