JENNIFER BLEVINS (NPI# 1629424742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629424742 |
| Entity Type | Individual |
| Full Name | JENNIFER BLEVINS |
| Credential | NP |
| Practice Address |
1090 Ne Gateway Ct Ne Suite 202 Concord NC 28025-2414 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044039050 |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5008622 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7810 Providence Rd, Suite 102, Charlotte, NC 282262954 | 7045436636 | |
| 5727 Prosperity Crossing Dr, Suite 1100, Charlotte, NC 282692206 | 7048639930 | |
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 10210 Couloak Dr, Suite E, Charlotte, NC 282167679 | 7048012000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159745 | Jennifer D Blevins | Nurse Practitioner | 970 N Morton St, Franklin, IN 46131-1373 | 2019-11-18 |
| 1629394986 | Jennifer Blevins | Registered Nurse | 104 Big Bend Ranch Road, Wadsworth, NV 89442 | 2010-04-12 |
| 1124357066 | Jennifer Jane Blevins | Physician Assistant | 6719 Alvarado Rd, Suite 308, San Diego, CA 92120 | 2009-12-23 |
| 1184704298 | Jennifer M Blevins | Physician Assistant | 510 Butler Ave, Martinsburg, WV 25401-9990 | 2006-10-16 |
| 1750499661 | Jennifer L Blevins | Physical Therapy Assistant | 10 Warren Rd, Suite 220, Cockeysville, MD 21030-2506 | 2006-08-29 |
| 1245347095 | Jennifer A Blevins | Occupational Therapist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2006-08-25 |
| Street Address |
1090 NE GATEWAY CT NE SUITE 202 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656342 | Brockford Herring | Orthopaedic Surgery | 1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025-2414 | 2005-08-18 |
| 1578075743 | Alexandra Nicole Soltis | Audiologist | 1090 Ne Gateway Ct Ne, Concord, NC 28025-2414 | 2017-10-28 |
| 1548705460 | Brittany Chavis | Nurse Practitioner | 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 | 2017-01-02 |
| 1003269606 | Lori Lovett | Nurse Practitioner | 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025-2414 | 2016-07-19 |
| 1629432281 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025-2414 | 2016-04-11 |
| 1861868358 | Hadassa Legrand | Nurse Practitioner | 1090 Ne Gateway Ct Ne, Suite 201, Concord, NC 28025-2414 | 2015-08-19 |
| 1770986879 | Lakshmi Ganugapenta | Nurse Practitioner | 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025-2414 | 2014-10-02 |
| 1487063962 | Sarah Clare Tortorici | Speech-Language Pathologist | 1090 Ne Gateway Ct Ne, Suite 101, Concord, NC 28025-2414 | 2014-08-08 |
| 1750718243 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 | 2013-09-30 |
| 1366887325 | Joshua Colombo | Physician Assistant | 1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025-2414 | 2013-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355970 | Taquita Shanee Milner | Nurse Practitioner | 3116 Dylan Pl Nw, Concord, NC 28027-0769 | 2019-06-19 |
| 1083182992 | Katie Weatherman Tucker | Nurse Practitioner | 1085 Ne Gateway Ct Ne Ste 180, Concord, NC 28025-2407 | 2018-11-08 |
| 1174938799 | Altegra Health Connections, LLC | Nurse Practitioner | 9 Capitol St, Concord, NH 03301-6310 | 2014-06-23 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1982990560 | Rashida Petrovich | Nurse Practitioner | 2222 East St # 305, Concord, CA 94520-2066 | 2011-06-22 |
| 1386774545 | Deborah Ann Sampson | Nurse Practitioner | 60 Commerce St Suite 302, Concord Hospital Occupational Health, Concord, NH 03301-0000 | 2007-03-06 |
| 1164569307 | Bridget Mary Canty | Nurse Practitioner | 5299 Laurel Dr, Concord, CA 94521-1529 | 2007-01-30 |
| 1679610844 | Debra Lynn Knuckles | Nurse Practitioner | 855 Bradley St, Ste. A, Concord, NC 28025-2979 | 2007-01-30 |
| 1043375090 | Kimberly A Capello | Nurse Practitioner | 59 Old Road To 9 Acre Cor, Ste 1, Concord, MA 01742-3317 | 2006-12-27 |
| 1346253978 | My Linh Thi Waldrop | Nurse Practitioner | 9614 Camden Town Dr Nw, Concord, NC 28027-3332 | 2006-08-14 |
| Find all providers in CONCORD | ||||
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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.