Stephanie Ann Blossey

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AS090407731 Issued in MI

Practice address

316 Fitzhugh St
Bay City, MI 48708-7159

Phone

(989) 316-1758

Fax

(989) 509-5900

NPI assigned

Oct 15, 2021

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

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1295498491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 FRASER ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087124",
            "telephone_number": "989-482-6927",
            "fax_number": "989-509-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 FITZHUGH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087159",
            "telephone_number": "989-316-1758",
            "fax_number": "989-509-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSSEY",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "AS090407731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Blaz, MA, LBSW, CADC
• Kaelin Blohm
• Lynn Blohm
• Meghan Lee Blohm
• Gabreana Blondin
• Emma Blossom
• Cristian D. Boboc, M.D.
• Lavinia Boboc, MD
• Jane Ann Bohlinger, LMSW
• Gary Norman Bomphray, MD

• Assisted Living Facility (Mental Illness) in Bay City, MI
• Providers in Bay City, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.