Active NPI
Ashley Blizzard, RN
- Community Health Registered Nurse
- Brunswick, GA
National Provider Identifier
1386125102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN260117
- Practice address
- 150 Scranton Connector
Brunswick, GA 31525-0540 - Phone
- (912) 262-2300
- NPI assigned
- Aug 29, 2018
- Last updated
- Aug 29, 2018
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN260117 | GA | Primary |
Addresses
Primary practice location
150 Scranton Connector
Brunswick, GA 31525-0540
Mailing address
132 Mimosa Dr
Reidsville, GA 30453-5134
Other practice location 1
584 N Macon Street
Ludowici, GA 31316
Phone (912) 545-2107 ext. 239
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 |
|---|---|---|---|
| RN260117 | GA | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long County Board of Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Long County Health Department
- Public Health or Welfare Agency
- Ludowici, GA
- NPI 1174506737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1386125102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 MIMOSA DR",
"city": "REIDSVILLE",
"state": "GA",
"postal_code": "304535134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SCRANTON CONNECTOR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315250540",
"telephone_number": "912-262-2300"
}
],
"practiceLocations": [
{
"address_1": "584 N Macon Street",
"address_purpose": "LOCATION",
"city": "Ludowici",
"state": "GA",
"postal_code": "31316",
"country_code": "US",
"telephone_number": "912-545-2107 x239",
"fax_number": "912-545-2112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLIZZARD",
"first_name": "ASHLEY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN260117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.