Individual provider Active NPI

Cheryl R Blankenship, L.A.C.

  • Acupuncturist
  • Southern Shores, NC
National Provider Identifier
1720253016
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
204 Issued in NC
Practice address
5553 N Croatan Hwy
Southern Shores, NC 27949-4117
Phone
(252) 449-8122
Fax
(252) 441-4080
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 204 NC Primary

Addresses

Primary practice location

5553 N Croatan Hwy
Southern Shores, NC 27949-4117

Mailing address

5553 N Croatan Hwy
Southern Shores, NC 27949-4117
Phone (252) 449-8122

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

State licenses

LicenseStateTypeSpecialty
204NCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1720253016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 N CROATAN HWY",
            "city": "SOUTHERN SHORES",
            "state": "NC",
            "postal_code": "279494117",
            "telephone_number": "252-449-8122",
            "fax_number": "252-441-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 N CROATAN HWY",
            "city": "SOUTHERN SHORES",
            "state": "NC",
            "postal_code": "279494117",
            "telephone_number": "252-449-8122",
            "fax_number": "252-441-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "CHERYL",
        "middle_name": "R",
        "credential": "L.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Shores, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.