MS. RACHEL BLANKS (NPI# 1083854160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083854160 |
| Entity Type | Individual |
| Full Name | MS. RACHEL BLANKS |
| Credential | LPN |
| Practice Address |
170 Brookwood Lane Fayetteville GA 30215 |
| Practice Telephone | 6462343779 |
| Practice Fax Number | 6785935148 |
| Mailing Telephone | 6462343779 |
| Mailing Fax Number | 6785935148 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2012-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 231245 | NY | Nursing Service Providers |
| Street Address |
170 BROOKWOOD LANE |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1104343839 | Pandora G Brown | Specialist | 65 Black Watch Ct, Fayetteville, GA 30215 | 2017-08-23 |
| 1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
| 1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
| 1407168131 | All Care Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 | 2010-07-10 |
| 1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
| 1174700769 | Katheryn D. Mcdonell | Counselor | 110 Dawn Drive, Fayetteville, GA 30215 | 2008-01-25 |
| 1003930454 | Michelle Marie Marchese-deutscher | Occupational Therapist | 130 Howard Lane, Fayetteville, GA 30215 | 2007-03-19 |
| Find all providers in zip 30215 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629993 | Sheena Epps | Licensed Practical Nurse | 637 John B Carter Rd, Fayetteville, NC 28312-7154 | 2019-09-26 |
| 1972158442 | Christina Lynn Evans | Licensed Practical Nurse | 388 Berlin Dr, Fayetteville, OH 45118-9429 | 2019-08-01 |
| 1346804036 | Toosdhi Marquette Mcdaniel-simmons | Licensed Practical Nurse | 3015 Amberjack Rd, Fayetteville, NC 28306-7989 | 2019-04-28 |
| 1417416017 | Sonja Nicole Leflore | Licensed Practical Nurse | 12335 Molly Sue Ln, Fayetteville, GA 30215-6630 | 2019-03-14 |
| 1114497393 | Leslie Annette Simmons | Licensed Practical Nurse | 500 Grouper Dr, Fayetteville, NC 28306-8453 | 2018-11-29 |
| 1154891679 | Faith Ursula Cowart | Licensed Practical Nurse | 415 Tradewinds Dr Apt G, Fayetteville, NC 28314-2454 | 2018-11-27 |
| 1689176307 | Isis Andrea Goodson | Licensed Practical Nurse | 1233 Mingary Ave, Fayetteville, NC 28306-3558 | 2018-03-08 |
| 1992257398 | Chanda Agee | Licensed Practical Nurse | 160 W Lake Dr, Fayetteville, GA 30214-3239 | 2016-11-01 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1073918025 | Valerie Davis Hunt | Licensed Practical Nurse | 195 Stillbrook Way, Fayetteville, GA 30214-5358 | 2014-11-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30215 |
Please comment or provide details below to improve the information on MS. RACHEL BLANKS.
| 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.