Active NPI
Brooke Ashley Blankenship
- Student in an Organized Health Care Education/Training Program
- Oroville, CA
National Provider Identifier
1790457240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 82 Table Mountain Blvd
Oroville, CA 95965-3578 - Phone
- (530) 538-7705
- NPI assigned
- Oct 4, 2021
- Reactivated
- Sep 15, 2025
- Last updated
- Sep 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary | |
| Community Health Worker | 172V00000X | NU | ||
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
82 Table Mountain Blvd
Oroville, CA 95965-3578
Mailing address
4 Rossi Cir
Suite 141
Salinas, CA 93907-2362
Other practice location 1
4 Rossi Cir
Suite 141
Salinas, CA 93907-2362
Phone (303) 989-8169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1790457240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ROSSI CIR",
"address_2": "SUITE 141",
"city": "SALINAS",
"state": "CA",
"postal_code": "939072362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 TABLE MOUNTAIN BLVD",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959653578",
"telephone_number": "530-538-7705"
}
],
"practiceLocations": [
{
"address_1": "4 Rossi Cir",
"address_2": "Suite 141",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939072362",
"country_code": "US",
"telephone_number": "303-989-8169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "BROOKE",
"middle_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"deactivation_date": "2025-08-05",
"reactivation_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.