MICHELLE LYN BLAKLEY


Address: 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753
Phone: 8039077700

MICHELLE LYN BLAKLEY (NPI# 1366781163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366781163
Entity Type Individual
Full Name MICHELLE LYN BLAKLEY
Credential FNP-BC
Practice Address 100 Palmetto Health Pkwy
Suite 220
Columbia
SC 29212-1753
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8039077700
Practice Fax Number 8039077709
Mailing Telephone 8032967320
Mailing Fax Number 8032967330
Enumeration Date 2013-02-14
Last Update Date 2018-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
18126 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 PALMETTO HEALTH PKWY
SUITE 220
City COLUMBIA
State SC
Zip Code 29212-1753

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447221098 Eric N Hutto Family Medicine 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 2006-01-31
1184157356 Sara Mae Delaney Nelson-owens Family Medicine 100 Palmetto Health Pkwy, Columbia, SC 29212-1753 2017-04-05
1457802985 Palmetto Health Orthopaedic Surgery 100 Palmetto Health Pkwy, Suite 320, Columbia, SC 29212-1753 2016-10-19
1336507623 Sara Brittany Woodberry Nurse Practitioner 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1753 2016-02-02
1487040192 Columbia Gastroenterology Associates Clinic/Center 100 Palmetto Health Pkwy, Suite 102, Columbia, SC 29212-1753 2015-04-09
1649511320 Palmetto Health Family Medicine 100 Palmetto Health Pkwy, Suite 250b, Columbia, SC 29212-1753 2013-03-06
1063783942 James Thomas Miller Nurse Practitioner 100 Palmetto Health Pkwy, Columbia, SC 29212 2012-01-24
1467612903 Palmetto Health Family Medicine 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1753 2008-06-09
1659571347 Carlos Miguel Torres Family Medicine 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 2007-07-20
1669678140 University Specialty Clinics - Ophthalmology Eyewear Supplier (Equipment, not the service) 100 Palmetto Health Pkwy, Suite 350, Columbia, SC 29212-1753 2007-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245758887 Amanda Gail Holloman Pharmacist 6021 St. Andrews Road, Columbia, SC 29212 2017-09-04
1578080180 Alvin Mitchell Jr. Non-emergency Medical Transport (VAN) 10 Breezewood Court, Columbia, SC 29212 2017-08-24
1467975102 Shelby Clemmer Behavior Technician 2 Harbison Way, Columbia, SC 29212 2017-07-25
1982149019 Showntellem Private Vehicle 336 Foxfire Dr, Columbia, SC 29212 2016-12-28
1902215296 Miranda Willis Adult Day Care, LLC Social Worker 5932 Mcmillian Circle, Columbia, SC 29212 2014-08-12
1013342591 Robert Glendon Long Pediatrics 15 Woodpine Ct, Columbia, SC 29212 2013-09-04
1174969638 Melinda Dumas Crenshaw Psychologist 2800 Ashland Rd., Columbia, SC 29212 2013-05-10
1417209982 Physician Services LLC Internal Medicine 214 Lake Front Drive, Physician Services, Cola, SC 29212 2012-10-09
1306131800 Rocky Mountain Holdings LLC Ambulance 6015 Saint Andrews Rd, Columbia, SC 29212 2011-06-13
1023262839 Candace Anne Aguiar Nurse Anesthetist, Certified Registered 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 2008-11-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1407454101 Jason D Jones Nurse Practitioner 213 Austell Dr, Columbia, TN 38401-5531 2020-10-14
1316544315 Rezvaneh Goodarzi Nurse Practitioner 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 2020-10-03
1316559255 Lauren Olivia Lenauer Nurse Practitioner 1600 E Broadway # 300, Columbia, MO 65201-5844 2020-08-21
1285246272 Lourdes Claire De Las Alas Nurse Practitioner 6005 Shepherd Sq, Columbia, MD 21044-3114 2020-08-20
1619587540 Josey Abraham Nurse Practitioner 305 Aiken Hunt Cir, Columbia, SC 29223-8407 2020-08-05
1588274765 Tomeka Nichole Jackson Nurse Practitioner 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 2020-08-03
1528696762 Mark Edward Merkel Nurse Practitioner 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 2020-04-01
1306489265 Andrew Leitch Nurse Practitioner 313 N Trenholm Rd, Columbia, SC 29206-3207 2019-10-23
1760033476 Emily Smith Nurse Practitioner 157 Chinquapin Cir, Columbia, SC 29212-2902 2019-09-24
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Competitor

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City COLUMBIA
Zip Code 29212

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Dataset Information

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.

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