Individual provider Active NPI

Denise Valerie Blakney, LPN

  • Licensed Practical Nurse
  • Stratford, NJ
National Provider Identifier
1336340553
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP04379000 Issued in NJ
Practice address
1 Colby Ave
Suite 7
Stratford, NJ 08084-1000
Phone
(856) 541-1700
Fax
(856) 346-3627
NPI assigned
May 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP04379000 NJ Primary

Addresses

Primary practice location

1 Colby Ave
Suite 7
Stratford, NJ 08084-1000

Mailing address

1 Colby Ave
Suite 7
Stratford, NJ 08084-1000
Phone (856) 541-1700

Other identifiers 1

IdentifierTypeStateIssuer
26NP04379000OtherNJNURSING LICENSE

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NP04379000NJMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336340553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLBY AVE",
            "address_2": "SUITE 7",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841000",
            "telephone_number": "856-541-1700",
            "fax_number": "856-346-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLBY AVE",
            "address_2": "SUITE 7",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841000",
            "telephone_number": "856-541-1700",
            "fax_number": "856-346-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKNEY",
        "first_name": "DENISE",
        "middle_name": "VALERIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP04379000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "26NP04379000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.