Marshall Lewis Blount V, FNP PRACTITONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95030340 Issued in CA

Practice address

2238 Geary Blvd
San Francisco, CA 94115-3416

Phone

(415) 833-2000

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1275736621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 VALENTANO DR",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683312",
            "telephone_number": "408-230-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153416",
            "telephone_number": "415-833-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "MARSHALL",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "name_suffix": "V",
        "credential": "FNP PRACTITONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95030340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Bloor
• Jocelyn Janine Blore
• Blossom Ridge Health, LLC
• Paige Blossom
• Jan Laureen Blouin, LVN
• Michael Anthony Blount
• Lori Bloustein, LCSW
• Rexford Elledge Bloxsom-Carter, M.A.
• Blue ABA California LLC
• Blue Humming Therapy

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.