Individual provider Active NPI

Linda Kay Blasingame, APRN

  • Family Nurse Practitioner
  • Poplar Bluff, MO
National Provider Identifier
1790233187
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020012106 Issued in MO
Practice address
2725 N Westwood Blvd Ste 5
Poplar Bluff, MO 63901-2367
Phone
(573) 872-4675
Fax
(573) 872-4671
NPI assigned
Sep 14, 2016
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005080 AR
Family Nurse Practitioner 363LF0000X 2020012106 MO Primary
Registered Nurse 163W00000X R48867 AR
Registered Nurse 163W00000X 2021045824 MO

Addresses

Primary practice location

2725 N Westwood Blvd Ste 5
Poplar Bluff, MO 63901-2367

Mailing address

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2346
Phone (573) 872-4675

Other practice location 1

209 Pointer Trl W
Van Buren, AR 72956-2238
Phone (479) 474-3399

Other practice location 2

7872 Highway O
Williamsville, MO 63967-9127
Phone (479) 213-4982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211230000065 MO Practitioner - Nurse Practitioner 4082989397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tinsley Home Medical Services LLCGroup PAC ID 6608275334, 7 clinicians

Practice addresses (Care Compare)

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2346

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2367
Phone (573) 686-5510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R48867ARMDRegistered Nurse
2021045824MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tinsley Home Medical Services, LLC CurrentSince Mar 20, 2023 Accepting new patients
Tinsley Medical Clinic Past Accepting new patients

Locations

2725 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-5510

2725 N Westwood Blvd
Ste 17
Poplar Bluff, MO 63901
Phone (573) 686-5510

2725 N Westwood Blvd
Ste 5
Poplar Bluff, MO 63901
Phone (573) 872-4671

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1790233187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012346",
            "telephone_number": "573-872-4675",
            "fax_number": "573-872-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD STE 5",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012367",
            "telephone_number": "573-872-4675",
            "fax_number": "573-872-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Pointer Trl W",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729562238",
            "country_code": "US",
            "telephone_number": "479-474-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7872 Highway O",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "MO",
            "postal_code": "639679127",
            "country_code": "US",
            "telephone_number": "479-213-4982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASINGAME",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005080",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020012106",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R48867",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2021045824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.