Geneva A Blanch

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703116916 Issued in MI

Practice address

29140 Pointe O Woods PL Apt 101
Southfield, MI 48034-1225

Phone

(734) 239-2670

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1750960613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29140 POINTE O WOODS PL APT 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341225",
            "telephone_number": "734-239-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29140 POINTE O WOODS PL APT 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341225",
            "telephone_number": "734-239-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCH",
        "first_name": "GENEVA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703116916",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amiyah Kyrah Denise Blackshear
• Sharon Blackshire-Tubie, FNP-BC
• Natalie Blair
• Shantinique Blair
• Shedeya Blair
• Darlene Hawkins Bland, LMSW
• Erica Blankenship
• Beverly Blanton
• Robert P Blau, MD
• Tori Bleau

• Licensed Practical Nurse in Southfield, MI
• Providers in Southfield, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.