Cranston Christopher Blakey, TM
Individual provider Active NPI Health & Wellness Coach · Ruckersville, VA
NPI 1679238166 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1679238166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 1943 Swift Run Rd
Ruckersville, VA 22968-2360 - Phone
- (434) 242-4468
- NPI assigned
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E24690952 | VA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | E24690952 | VA | |
| Health & Wellness Coach | 171400000X | VA | Yes |
Addresses
Primary practice location
1943 Swift Run Rd
Ruckersville, VA 22968-2360
Mailing address
1943 Swift Run Rd
Ruckersville, VA 22968-2360
Phone (434) 242-4468
Other providers in Ruckersville, VA
- Jamal Abueshaibeh
- Shalom Sylvia Akauola
- Jamie Artale
- Brandi Arthur
- Tiffani Ashland
- Brooke Arledge Bostic
- Brian P Bouton
- Nathan Edward Braginetz
- Laurie Ann Breeding
- Kristin Bryant
All providers in Ruckersville, VA · Health & Wellness Coach in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.