Active NPI
John Roy Blanton, LPN
- Licensed Vocational Nurse
- Williamsburg, VA
National Provider Identifier
1730687641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 0002096163
- Practice address
- 701 Rustads Cir
Williamsburg, VA 23188-1086 - Phone
- (757) 450-8477
- NPI assigned
- Jan 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 0002096163 | VA | Primary |
Addresses
Primary practice location
701 Rustads Cir
Williamsburg, VA 23188-1086
Mailing address
701 Rustads Cir
Williamsburg, VA 23188-1086
Phone (757) 450-8477
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0002096163 | VA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1730687641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 RUSTADS CIR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231881086",
"telephone_number": "757-450-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 RUSTADS CIR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231881086",
"telephone_number": "757-450-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANTON",
"first_name": "JOHN",
"middle_name": "ROY",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-25",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "VA",
"license": "0002096163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.