Kinta Maria Blumenthal, BA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

721 W Maple St
Rawlins, WY 82301-5447

Phone

(307) 324-7156

NPI assigned

Aug 16, 2013

Sex

Female

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1376976076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W MAPLE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015447",
            "telephone_number": "307-324-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W MAPLE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015447",
            "telephone_number": "307-324-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENTHAL",
        "first_name": "KINTA",
        "middle_name": "MARIA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle E Bangs, RN
• Amy N. Baxter
• Beverly Nott, OD PC
• Glenn Dale Biggs, LCSW
• Ronald Elmer Blake Sr.
• Brian Pieper, O.D. P.C.
• Alison Brown
• Valorie Dee Brown, RN
• Roy G Bryan, M.D.
• Justin Burgess, CSW

• All providers in Rawlins, WY
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.