Active NPI
Shelly Dawn Blazier, RN
- Registered Nurse
- Burlington, CO
National Provider Identifier
1346590346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 83982
- Practice address
- 252 S 14TH St
Burlington, CO 80807-2321 - Phone
- (719) 346-7158
- NPI assigned
- Sep 17, 2012
- Last updated
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 83982 | CO | Primary |
Addresses
Primary practice location
252 S 14TH St
Burlington, CO 80807-2321
Mailing address
270 Stagecoach TRL
Elizabeth, CO 80107-8538
Phone (303) 646-2970
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83982 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1346590346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 STAGECOACH TRL",
"city": "ELIZABETH",
"state": "CO",
"postal_code": "801078538",
"telephone_number": "303-646-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 S 14TH ST",
"city": "BURLINGTON",
"state": "CO",
"postal_code": "808072321",
"telephone_number": "719-346-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZIER",
"first_name": "SHELLY",
"middle_name": "DAWN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "83982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, CO
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- Jason Ward Barnes, DC
- Lisa M Belden, MSW
- Lindsey Blackwelder Taylor, BSN
- Boulder Valley Asthma & Allergy Clinics, PC
- Burlington Assisted Living, LLC (Legacy at Burlington)
- Burlington Family Dentistry
- Burlington Nursing Home LLC (Grace Manor Care Center)
- Candace Campbell, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.