Amanda Bloxton-Kippola

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801108421 Issued in MI

Practice address

2500 7TH Ave S
Escanaba, MI 49829-1176

Phone

(906) 786-6441

NPI assigned

Apr 29, 2021

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1891378816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554661",
            "telephone_number": "906-233-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 7TH AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291176",
            "telephone_number": "906-786-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOXTON-KIPPOLA",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonas N Beversluis, LMSW
• Edward F Bigsby, M.D.
• Leann Bink, LMSW
• Bishop Noa Home for Senior Citizens
• Ronald H Bissett, MD
• Bmor LLC (Fyzical)
• Body Mechanix Physical Therapy of Escanaba, LLC
• James J Boes, DO
• Randy Bogaudo, D.D.S.
• Kaitlin Bolle

• Social Worker in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.