ANDREA BLAKEMAN (NPI# 1053954438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053954438 |
| Entity Type | Individual |
| Full Name | ANDREA BLAKEMAN |
| Other Name | ANNIE BLAKEMAN |
| Credential | APRN |
| Practice Address |
1131 Saluda St Rock Hill SC 29730-5776 |
| Mailing Address |
1614 Williams Rd Fort Mill SC 29715-7037 |
| Practice Telephone | 8033257744 |
| Practice Fax Number | 8033251117 |
| Mailing Telephone | 7045799046 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
23340 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 196 Cardiology Dr, Rock Hill, SC 297321174 | 8033245135 | |
| 222 S Herlong Ave, Rock Hill, SC 297321158 | 8033291234 |
| Street Address |
1131 SALUDA ST |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730-5776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871567818 | Jacques Rodney Days | Family Medicine | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2006-02-15 |
| 1639564826 | Community Medicine Foundation Inc | Clinic/Center | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2015-04-03 |
| 1811309644 | Christine J Rizzo | Social Worker | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2014-05-28 |
| 1790100063 | Jutta Cameron | Nurse Practitioner | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2014-02-24 |
| 1962637827 | Jerell Diego Chua | Family Medicine | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2009-05-21 |
| 1811152036 | Community Medicine Foundation, Inc. | Clinic/Center | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2008-07-28 |
| 1528004918 | Community Medicine Foundation | Clinic/Center | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2006-06-22 |
| 1821051467 | Lalonda Monique Graham | Family Medicine | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255711297 | Tiffany Hope Stephens Tyson | Nurse Practitioner | 6507 North Kings Hwy, Myrtle Beach, SC 29572 | 2015-06-04 |
| 1124258967 | Jacqueline Mintz | Nurse Practitioner | 524 Nelson Ave, Shaw Afb, SC 29152 | 2009-07-14 |
| 1801434402 | Megan Colleen Brogan | Nurse Practitioner | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2019-12-13 |
| 1255805693 | Avenir Ventures LLC | Nurse Practitioner | 2201 Boundary St Ste 112, Beaufort, SC 29902-3879 | 2019-01-18 |
| 1750809612 | Marcia Frazao Luis | Nurse Practitioner | 800 Pelham Rd, Greenville, SC 29615-3300 | 2017-08-31 |
| 1477939437 | Christine Gordon | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115-7473 | 2015-07-31 |
| 1083012967 | Natalie Whitfield | Nurse Practitioner | 145 E Cheves St, Florence, SC 29506-2526 | 2014-12-09 |
| 1851481576 | Tamika D Elliott | Nurse Practitioner | 1107 W Poinsett St, Greer, SC 29650-1318 | 2006-10-13 |
| 1558381194 | Toriah J. Caldwell | Nurse Practitioner | 2638 Two Notch Rd, Columbia, SC 29204-1454 | 2006-07-19 |
| 1861431660 | Carlon J. Mitchell | Nurse Practitioner | 4050 Bridge View Dr, Charleston, SC 29405-8415 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.