Active NPI
Brent M Blevins, RN, RRT,MS
- School Registered Nurse
- Ashland, KY
National Provider Identifier
1174876247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 59357
- Practice address
- 141 Kyle Malia RDG
Ashland, KY 41102-7960 - Phone
- (304) 399-4969
- Fax
- (304) 399-4969
- NPI assigned
- Oct 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 59357 | WV | Primary |
Addresses
Primary practice location
141 Kyle Malia RDG
Ashland, KY 41102-7960
Mailing address
141 Kyle Malia RDG
Ashland, KY 41102-7960
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)
- Not enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59357 | WV | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1174876247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 KYLE MALIA RDG",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411027960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 KYLE MALIA RDG",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411027960",
"telephone_number": "304-399-4969",
"fax_number": "304-399-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEVINS",
"first_name": "BRENT",
"middle_name": "M",
"credential": "RN, RRT,MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WV",
"license": "59357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.