Active NPI
Arieanna M Blaylock
- Case Manager/Care Coordinator
- Newport, OR
National Provider Identifier
1679239529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 407 N Coast Hwy Ste 300
Newport, OR 97365-3117 - Phone
- (503) 390-5637
- Fax
- (541) 264-7515
- NPI assigned
- Nov 15, 2021
- Last updated
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
407 N Coast Hwy Ste 300
Newport, OR 97365-3117
Mailing address
1400 W Marine Dr Apt 28
Astoria, OR 97103-5618
Phone (971) 601-0117
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wp.options.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1679239529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W MARINE DR APT 28",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971035618",
"telephone_number": "971-601-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N COAST HWY STE 300",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973653117",
"telephone_number": "503-390-5637",
"fax_number": "541-264-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAYLOCK",
"first_name": "ARIEANNA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wp.options.org",
"affiliation": "N",
"address_1": "3500 Chad Dr Ste 350",
"city": "Eugene",
"state": "OR",
"country_code": "US",
"postal_code": "974087602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.