Individual provider Active NPI

David Lee Blinn

  • Registered Nurse
  • Englewood, CO
National Provider Identifier
1881366508
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.1640574 Issued in CO
Practice address
9200 E Panorama Cir Ste 160
Englewood, CO 80112-3490
Phone
(970) 629-1504
NPI assigned
Sep 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1640574 CO Primary

Addresses

Primary practice location

9200 E Panorama Cir Ste 160
Englewood, CO 80112-3490

Mailing address

2535 Knollwood Dr Unit 1105
Grand Junction, CO 81505-1465
Phone (210) 388-7130

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

State licenses

LicenseStateTypeSpecialty
RN.1640574COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1881366508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 KNOLLWOOD DR UNIT 1105",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051465",
            "telephone_number": "210-388-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 E PANORAMA CIR STE 160",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123490",
            "telephone_number": "970-629-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINN",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1640574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.