Brandi Nicole Bloodworth

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1079 Thornberry Dr Ste B
Madisonville, KY 42431

Phone

(270) 825-1698

NPI assigned

Jul 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1760978308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 THORNBERRY DR STE B",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311600",
            "telephone_number": "270-825-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 THORNBERRY DR STE B",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "42431",
            "telephone_number": "270-825-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODWORTH",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Ann Bishop, CRNA
• Victoria Lee Bivins, APRN
• Carrie June Black, ARNP
• Ashley Blackburn
• Michele Deann Blair, APRN, NP-C
• Judy B. Blue
• Bluegrass I.V. Care, Inc.
• Bluegrass Kids Therapy Center LLC
• Bluegrass Mobile Xray Inc
• Bluegrass Pharmacies Inc

• Case Manager/Care Coordinator in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.