Active NPI
Nina Elmore Blanton, RN MN CWOCN
- Enterostomal Therapy Registered Nurse
- Columbia, SC
National Provider Identifier
1629277264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Enterostomal Therapy Registered Nurse
- License
- 17577
- Practice address
- 1333 Taylor Street, Suite 4E
Columbia, SC 29220 - Phone
- (803) 296-8906
- Fax
- (803) 296-8908
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Enterostomal Therapy Registered Nurse | 163WE0900X | 17577 | SC | Primary |
Addresses
Primary practice location
1333 Taylor Street, Suite 4E
Columbia, SC 29220
Mailing address
100 Brassfield Court
Irmo, SC 29063
Phone (803) 296-8906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17577 | Other | SC | STATE RN LICENSE |
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 |
|---|---|---|---|
| 17577 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1629277264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BRASSFIELD COURT",
"city": "IRMO",
"state": "SC",
"postal_code": "29063",
"telephone_number": "803-296-8906",
"fax_number": "803-296-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 TAYLOR STREET, SUITE 4E",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29220",
"telephone_number": "803-296-8906",
"fax_number": "803-296-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANTON",
"first_name": "NINA",
"middle_name": "ELMORE",
"credential": "RN MN CWOCN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0900X",
"taxonomy_group": "",
"desc": "Registered Nurse, Enterostomal Therapy",
"state": "SC",
"license": "17577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE RN LICENSE",
"identifier": "17577",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.