ANDREA G BLEVINS (NPI# 1174601017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174601017 |
| Entity Type | Individual |
| Full Name | ANDREA G BLEVINS |
| Credential | ANP |
| Practice Address |
3803 N Elm St Greensboro NC 27455-2593 |
| Mailing Address |
10046 Old Liberty Rd Liberty NC 27298-8071 |
| Practice Telephone | 3365499846 |
| Practice Fax Number | 8777202076 |
| Mailing Telephone | 3666226000 |
| Mailing Fax Number | 3366227818 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
005001746 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC LICENSE NUMBER | 005001746 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750710745 | Andrea Joanne Blevins | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2013-11-11 |
| 1386898054 | Andrea L Blevins | Counselor | 2140 S Harvard Ave, Tulsa, OK 74114-1960 | 2008-11-07 |
| 1659596070 | Andrea Lee Blevins | Occupational Therapy Assistant | 200 Civic Ave, Salisbury, MD 21804-4599 | 2007-04-13 |
| Street Address |
3803 N ELM ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564803 | Janet L Poindexter | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2005-08-09 |
| 1609402353 | Mary Niemczura | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2020-03-13 |
| 1205461977 | Theresa Oluoma Ejindu | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2020-03-03 |
| 1942857560 | Elisabeth Ashley Larson | Registered Nurse | 3803 N Elm St, Greensboro, NC 27455-2593 | 2019-08-19 |
| 1912569518 | Jon A Royals | Hearing Instrument Specialist | 3803 N Elm St, Greensboro, NC 27455-2593 | 2019-07-03 |
| 1598236762 | Tiffany Suber | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-12-16 |
| 1306316179 | Carrie Elizabeth Avery Burleson | Registered Nurse | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-12-04 |
| 1659848158 | Cynthia Ann Smith | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-11-01 |
| 1205301512 | Sheila Thornton Whitman | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-10-12 |
| 1194290403 | Alicia Bayse | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1184190621 | Nancy Evelyn Davis | Nurse Practitioner | 4301 Plantation Ridge Ln, Greensboro, NC 27409-9236 | 2018-10-23 |
| 1063990869 | Ashley Creed Corbett | Nurse Practitioner | 1511 Westover Ter Ste 103, Greensboro, NC 27408-7122 | 2018-08-02 |
| 1013328020 | Katy Demanigold Danford | Nurse Practitioner | 4620 Woody Mill Rd Ste G, Greensboro, NC 27406-8779 | 2014-05-13 |
| 1063656346 | Christina Lloyd Wert | Nurse Practitioner | 1309 N. Elm Street, Greensboro, NC 27401 | 2009-04-30 |
| 1467693846 | Monica Susana Lyall | Nurse Practitioner | 1593 Yanceyville St Ste 200, Greensboro, NC 27405-6950 | 2009-03-16 |
| 1164572079 | Tonya Renee Walker | Nurse Practitioner | 107 Gray Drive, Greensboro, NC 27402-6170 | 2007-01-11 |
| 1710056817 | Mary Ann Placey | Nurse Practitioner | 1471 E Cone Blvd, Greensboro, NC 27405-4533 | 2006-11-06 |
| 1881695005 | Carol Jean Reed | Nurse Practitioner | Gray Dr, Greensboro, NC 27402 | 2005-08-10 |
| 1134736135 | Jennaya Lynn Davis | Nurse Practitioner | 509 N Elam Ave, Greensboro, NC 27403-1129 | 2020-09-24 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
Please comment or provide details below to improve the information on ANDREA G BLEVINS.
| 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.