Octavia Tiesha Blount

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9678060 Issued in FL

Practice address

2303 Caney Oaks Dr
Jacksonville, FL 32218-9080

Phone

(904) 487-7992

NPI assigned

Jan 10, 2026

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vital Home Care, LLC

  • Homemaker
  • Jacksonville, FL
  • NPI 1831048776
  NPD Authorized official

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

{
    "created_epoch": "1768003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1497613483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 CANEY OAKS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189080",
            "telephone_number": "904-487-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 CANEY OAKS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189080",
            "telephone_number": "904-487-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "OCTAVIA",
        "middle_name": "TIESHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-10",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9678060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lynn Bloomquist, CRNA
• Blossom & Grow Pediatric Therapy Inc.
• Blossom Atrium LLC
• Blossom Forward LLC
• Jerrod Floyd Blount, PA-C
• Osborn Blount
• Yolanda Blount
• BLR Provider Care Services
• Blu Haven Salon LLC
• Blue Care Behavior Therapy LLC

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.