Individual provider Active NPI

Carol A. Blatnik

  • Driver
  • Seven Hills, OH
National Provider Identifier
1609537752
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
GUB4090 Issued in OH
Practice address
3496 Jasmine Dr
Seven Hills, OH 44131-5115
Phone
(216) 374-8415
NPI assigned
Dec 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X GUB4090 OH Primary

Addresses

Primary practice location

3496 Jasmine Dr
Seven Hills, OH 44131-5115

Mailing address

3496 Jasmine Dr
Seven Hills, OH 44131-5115
Phone (216) 374-8415

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

State licenses

LicenseStateTypeSpecialty
GUB4090OHMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1609537752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 JASMINE DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441315115",
            "telephone_number": "216-374-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 JASMINE DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441315115",
            "telephone_number": "216-374-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATNIK",
        "first_name": "CAROL",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "GUB4090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.