Individual provider Active NPI

Kevin Blasingame, RN

  • Registered Nurse
  • Lakeland, FL
National Provider Identifier
1306758438
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9558152 Issued in FL
Practice address
1253 W Memorial Blvd
Lakeland, FL 33815-0602
Phone
(407) 553-6336
NPI assigned
Sep 22, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9558152 FL Primary

Addresses

Primary practice location

1253 W Memorial Blvd
Lakeland, FL 33815-0602

Mailing address

8111 El Portal Dr
Tampa, FL 33604-2810

Other practice location 1

1724 33rd St Ste 100
Orlando, FL 32839-8858
Phone (407) 553-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1306758438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 EL PORTAL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 W MEMORIAL BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338150602",
            "telephone_number": "407-553-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1724 33rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328398858",
            "country_code": "US",
            "telephone_number": "407-553-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASINGAME",
        "first_name": "KEVIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9558152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.