Keiandra V Vinson, DNP, MBA,PMHNP

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

26NR23811500 Issued in NJ

Practice address

1198 Lakewood Rd Ste 102
Toms River, NJ 08753-2243

Phone

(732) 605-6364

NPI assigned

Nov 20, 2023

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

Other names 1

• Keiandra V Bludsaw Former name

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1538934682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 LAKEWOOD RD STE 102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532243",
            "telephone_number": "732-605-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 LAKEWOOD RD STE 102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532243",
            "telephone_number": "732-605-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Rose Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Absecon",
            "state": "NJ",
            "postal_code": "082012502",
            "country_code": "US",
            "telephone_number": "609-354-7542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINSON",
        "first_name": "KEIANDRA",
        "middle_name": "V",
        "credential": "DNP, MBA,PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15603400",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NR23811500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEIANDRA",
            "last_name": "BLUDSAW",
            "middle_name": "V",
            "credential": "DNP, MBA, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Adult Psychiatric/Mental Health Registered Nurse in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New Jersey

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