Pauline Blanford, RN,BSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN-170118 Issued in OH

Practice address

1 Tiger Dr
Waverly, OH 45690-8704

Phone

(740) 947-7701

Fax

(740) 941-5899

NPI assigned

Oct 10, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waverly City Board of Education

  • Local Education Agency (LEA)
  • Waverly, OH
  • NPI 1982842563
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1659775286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 PROSPERITY RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456908941",
            "telephone_number": "740-947-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIGER DR",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456908704",
            "telephone_number": "740-947-7701",
            "fax_number": "740-941-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANFORD",
        "first_name": "PAULINE",
        "credential": "RN,BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OH",
            "license": "RN-170118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bevins, D.C.
• Veronica Michelle Black, CDCA
• Kara Blackburn
• Yvonne Leslie Blackburn, CMS
• Toni Rochelle Blair, LPN
• Jennifer Lee Blankenship
• Lacharla Michelle Blankenship
• Sarah Lynn Blevings
• Melissa Ann Bloomfield, LPN
• Nathan Bloss

• All providers in Waverly, OH
• School Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.