Organization Active NPI

Quality Sleep Services

  • Sleep Specialist (PhD)
  • Eastman, GA
National Provider Identifier
1750663035
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
License
041296 Issued in GA
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

Updated by the provider on Oct 3, 2011

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)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.