Carmie Salina Blankenship, CFNP
Individual provider Active NPI Family Nurse Practitioner · Sardis, MS
NPI 1629329289 · NPPES record last updated Jun 4, 2013
Key facts
- NPI
- 1629329289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R825148 (MS)
- Practice address
- 124 S. Main St
Sardis, MS 38666 - Phone
- (662) 487-1064
- Fax
- (662) 487-1381
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quick Care Clinic LLC
Practice addresses (Care Compare)
350 Sunset Dr
Grenada, MS 38901-4613
Phone (662) 307-2750
Hospital & facility affiliations
- Vitalcaring Group
- Accentcare Home Health of Greenwood
- Mississippi Homecare of Eupora
- University of Mississippi Medical Center- Grenada
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150710000974 | MS | Practitioner - Nurse Practitioner | 8820309610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R825148 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Care Clinic LLC | Current |
Accepting new patients | |
| C and K Pharmacy | Past |
Accepting new patients |
Locations
350 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R825148 | MS | Yes |
Addresses
Primary practice location
124 S. Main St
Sardis, MS 38666
Mailing address
124 S. Main St
Sardis, MS 38666
Phone (662) 487-1064
Other providers in Sardis, MS
- Samantha Leigh Allen
- Bradi Beard
- Buds Respite Care
- Cary N Mettetal
- Terri R Clayton
- Denise Corbett
- Drawn2You Lab Services, LLC
All providers in Sardis, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.