Stephanie Renee Bledsoe, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

0000040503 Issued in TN

Practice address

4062 Hixson Pike
Chattanooga, TN 37415-3110

Phone

(423) 877-3568

Fax

(423) 803-4791

NPI assigned

Apr 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1275152274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 CUSCOWILLA TRL",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374154816",
            "telephone_number": "423-315-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 HIXSON PIKE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153110",
            "telephone_number": "423-877-3568",
            "fax_number": "423-803-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TN",
            "license": "0000040503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CHATTANOOGA",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4062 Hixson Pike",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374153110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Blanton, NCC
• Tara Lynne Blanton
• Taylor D Blaylock, DMD
• Azra Blazevic, NP
• Christopher Douglas Blazina, PH.D.
• Adeline Autumn Blessing-Loggins, RBT
• Amanda Blevins
• Gary A Blinn, CRNA
• Justin Blinn, M.D.
• Kelsey Blinn, CCC-SLP

• Pharmacy Technician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pharmacy Technician in Tennessee

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