Spencer Blevins, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT005595 Issued in OH

Practice address

7025 State Route 61 N
Shelby, OH 44875

Phone

(419) 512-7795

NPI assigned

Jul 9, 2015

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1306229281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 STATE ROUTE 61 N",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 STATE ROUTE 61 N",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "44875",
            "telephone_number": "419-512-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "SPENCER",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005595",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Biggs
• Brooke Dianne Bigley
• Kathleen Marie Bigley
• Tambla Birkheimer
• Shamarr Black
• Sherri Lynne Bloomfield, LPN
• Timothy Robert Bodle, R.PH.
• Kayla Bohland
• Susan Fiedls Book, CCC-SLP
• Jeremy Bowman, CDCA

• Athletic Trainer in Shelby, OH
• Providers in Shelby, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.