MRS. CHARLENE LYDIA BLAINE (NPI# 1720050578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720050578 |
| Entity Type | Individual |
| Full Name | MRS. CHARLENE LYDIA BLAINE |
| Credential | CRT, RCP |
| Practice Address |
343 Technology Dr Suite 1110 Garner NC 27529-7949 |
| Practice Telephone | 9197805900 |
| Practice Fax Number | 9197805905 |
| Mailing Telephone | 9197805900 |
| Mailing Fax Number | 9197805905 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2011-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278P1004X |
Respiratory Therapist, Certified Specialization: Pulmonary Diagnostics |
A-4125 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE SHIELD NC | 139EE | 01 |
| NC | 7492701 | 05 | |
| NC | LICENSE | A-4125 | 01 |
| Street Address |
343 TECHNOLOGY DR SUITE 1110 |
| City | GARNER |
| State | NC |
| Zip Code | 27529-7949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154601664 | Kimberly Michele Aycock | Respiratory Therapist, Registered | 343 Technology Dr, Suite 1110, Garner, NC 27529-7949 | 2011-08-29 |
| 1902194962 | Susan D Leonard | Respiratory Therapist, Certified | 343 Technology Dr, Suite 1110, Garner, NC 27529-7949 | 2011-07-12 |
| 1407144462 | Anthony P Christy | Respiratory Therapist, Certified | 343 Technology Dr, Suite 1110, Garner, NC 27529-7949 | 2011-07-12 |
| 1033407184 | Tarinna M Crow | Respiratory Therapist, Certified | 343 Technology Dr, Suite 1110, Garner, NC 27529-7949 | 2011-07-11 |
| 1376835132 | Susan Mann Scalione | Respiratory Therapist, Certified | 343 Technology Dr, Suite 1110, Garner, NC 27529-7949 | 2011-05-11 |
| 1760774624 | William Cullen Bryant II | Respiratory Therapist, Registered | 343 Technology Dr, Suite 1110, Garner, NC 27529-7949 | 2011-05-11 |
| 1831494988 | Ez Diagnostics, Inc. | Specialist | 343 Technology Dr, Suite 1110, Garner, NC 27529-7949 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| Taxonomy Code | 2278P1004X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | Pulmonary Diagnostics |
| Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497968424 | Respi-test Inc. | Respiratory Therapist, Certified | 11048 Cleveland Rd, Suite 101-102, Garner, NC 27529-8351 | 2007-05-07 |
| 1376835132 | Susan Mann Scalione | Respiratory Therapist, Certified | 343 Technology Dr, Suite 1110, Garner, NC 27529-7949 | 2011-05-11 |
Please comment or provide details below to improve the information on MRS. CHARLENE LYDIA BLAINE.
| 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.