Wendy Ranee Blanton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703092968 Issued in MI

Practice address

890 N 10TH St
Kalamazoo, MI 49009-6192

Phone

(888) 527-0012

Fax

(866) 519-1936

NPI assigned

Jul 26, 2022

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

Other identifiers 1

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1548996127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 CEDAR DR",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541271",
            "telephone_number": "517-962-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N 10TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096192",
            "telephone_number": "888-527-0012",
            "fax_number": "866-519-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "WENDY",
        "middle_name": "RANEE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703092968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON SPECIALIZED LIVING SERVICES",
            "identifier": "38-3411707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Hartley Blakeslee III, WILLIAM BLAKESLEE PA
• Allison Rene Bland, LLPC
• Lynn Bland III
• William Blank, DDS
• David P Blankenship, CAC 2
• Molly Blasen
• Aryah Blaylock
• BLC Industries, LLC
• Kyle Martin Blecha, ATC
• Alex Blincoe

• Licensed Practical Nurse in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.