Anna KD Blum Pmhcns-BC LLC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

0015070939 Issued in VA

Legal business name

ANNA KD BLUM PMHCNS-BC LLC

Practice address

401 Orange St
Charlottesville, VA 22902-4859

Phone

(434) 987-1818

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Anna KD Blum, PMHCNS-BC

Title

Owner

Phone

(434) 987-1818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1871031260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ORANGE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024859",
            "telephone_number": "434-987-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ORANGE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024859",
            "telephone_number": "434-987-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA KD BLUM PMHCNS-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "KD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-987-1818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0015070939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.