Annette Bloodworth

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

209010 Issued in TX

Practice address

2800 N Midland Dr
Midland, TX 79707-5536

Phone

(432) 697-3108

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1356986202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 S COUNTY ROAD 1067",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797065611",
            "telephone_number": "432-556-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075536",
            "telephone_number": "432-697-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODWORTH",
        "first_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "209010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Ann Blaylock, RN, MSN, CPNP
• John Ray Blevins, M.D.
• Bliss Dental-Midland PLLC
• Bliss Rankin Dentistry PLLC
• Kathryn G Blonkvist, P.T.
• Blossom Nutrition LLC
• Brielle Marie Bobbora, PA-S1
• Bobby G Ray OD PA
• Joshua James Bobo, PHARMD, RPH
• Christopher H Bodily, PA-C

• All providers in Midland, TX
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.