Active NPI
Virginia Kennedy-Blume, RN
- Public Health or Welfare Agency
- Columbia, SC
National Provider Identifier
1891112413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 24039
- Practice address
- 2000 Hampton St
Columbia, SC 29204-1002 - Phone
- (803) 576-2692
- NPI assigned
- Mar 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 24039 | SC | Primary |
Addresses
Primary practice location
2000 Hampton St
Columbia, SC 29204-1002
Mailing address
2000 Hampton St
Columbia, SC 29204-1002
Phone (803) 576-2692
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24039 | SC | MD | Public Health or Welfare Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1891112413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HAMPTON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292041002",
"telephone_number": "803-576-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HAMPTON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292041002",
"telephone_number": "803-576-2692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY-BLUME",
"first_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "SC",
"license": "24039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Kendrick Elevation and Esteem Project LLC
- Andrea L. Kendrick
- Leslie Kendrick, AGACNP-BC
- Ijeoma Avunanya Kene-Ewulu, M.D.
- Jacqueline Elaine Kennebrew, RN
- Erin Regan Kennedy-Ripley, CRNP
- Valerie Ann Kennedy-Robinson, PHARM D
- Apryle Yvette Kennedy, M.D.
- Arthur Kobina Kennedy, MD
- Benjamin Thomas Kennedy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.