Active NPI
Quality Sleep Services
- Sleep Specialist (PhD)
- Eastman, GA
National Provider Identifier
1750663035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Specialist (PhD)
- License
- 041296
- Legal business name
- QUALITY SLEEP SERVICES
- Practice address
- 829 Plaza Ave
Eastman, GA 31023-6757 - Phone
- (678) 702-9192
- Fax
- (404) 687-8468
- NPI assigned
- Sep 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristin Blondeau
- Title
- PH.D. Rpsgt
- Phone
- (678) 702-9192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Specialist (PhD) | 173F00000X | 041296 | GA | Primary |
Addresses
Primary practice location
829 Plaza Ave
Eastman, GA 31023-6757
Mailing address
829 Plaza Ave
Eastman, GA 31023-6757
Phone (678) 702-9192
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317600000000",
"number": "1750663035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 PLAZA AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236757",
"telephone_number": "678-702-9192",
"fax_number": "404-687-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 PLAZA AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236757",
"telephone_number": "678-702-9192",
"fax_number": "404-687-8468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY SLEEP SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-13",
"last_updated": "2011-10-03",
"status": "A",
"authorized_official_last_name": "BLONDEAU",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "PH.D. RPSGT",
"authorized_official_telephone_number": "678-702-9192",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "173F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Sleep Specialist, PhD",
"state": "GA",
"license": "041296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastman, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.