Amanda Marie Blandford, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT61008474 Issued in WA

Practice address

4655 14 Mile Rd NE Ste B
Rockford, MI 49341-7308

Phone

(616) 884-0645

Fax

(616) 884-0646

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1639791304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 TEASEL ST NE",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219599",
            "telephone_number": "616-301-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 14 MILE RD NE STE B",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417308",
            "telephone_number": "616-884-0645",
            "fax_number": "616-884-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDFORD",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61008474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC PHYSICIAN LICENSE",
            "identifier": "NT61008474",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Erin L Bloomquist, P.T.
• Nathaniel Bobb
• Karen Jo Boden, PT

• Naturopath in Rockford, MI
• Providers in Rockford, MI by specialty
• Naturopath in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.