Active NPI
Linda D Bledsoe, MSN, RN, FNP
- Registered Nurse
- Martinsville, VA
National Provider Identifier
1679545578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001060683
- Practice address
- 1107 Brookdale St
Martinsville, VA 24112-4501 - Phone
- (276) 670-3300
- Fax
- (276) 634-0379
- NPI assigned
- Feb 3, 2006
- Last updated
- Jul 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001060683 | VA | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024060683 | VA |
Addresses
Primary practice location
1107 Brookdale St
Martinsville, VA 24112-4501
Mailing address
421 Boone Rd
Eden, NC 27288-4967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7787456 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001060683 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martinsville Primary Care LLC | Past | Accepting new patients | |
| Martinsville Family Care LLC | Past | Accepting new patients | |
| Carilion Healthcare Corporation | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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-
- Primary Care Clinic/Center
- Martinsville, VA
- NPI 1730076761
-
- Primary Care Clinic/Center
- Martinsville, VA
- NPI 1497648661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1679545578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 BOONE RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272884967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 BROOKDALE ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241124501",
"telephone_number": "276-670-3300",
"fax_number": "276-634-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEDSOE",
"first_name": "LINDA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "MSN, RN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001060683",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024060683",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7787456",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.