BLONDY SHUPP (NPI# 1225375538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225375538 |
| Entity Type | Individual |
| Full Name | BLONDY SHUPP |
| Credential | FNP |
| Practice Address |
1310 Elyse Dr Christiana TN 37037-1403 |
| Practice Telephone | 6154237083 |
| Mailing Telephone | 6154237083 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26778 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1310 ELYSE DR |
| City | CHRISTIANA |
| State | TN |
| Zip Code | 37037-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604988 | Twila Berry | Pharmacist | 8050 Panther Creek Rd, Christiana, TN 37037-5142 | 2016-04-21 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1083909717 | Victoria Lynn Biles | Dietitian, Registered | 4600 Broiles Rd, Christiana, TN 37037-5726 | 2011-06-10 |
| 1174653000 | Linda Suzanne White | Specialist/Technologist, Other | 14843 Manchester Pike, Christiana, TN 37037-5817 | 2007-03-07 |
| 1902448608 | Pamela Fay Rudd Owens | Nurse Practitioner | 9165 Big Springs Rd, Christiana, TN 37037-5915 | 2019-10-14 |
| 1255475596 | Robin Neil Cowell | Pharmacist | 9150 Cobb Rd, Christiana, TN 37037-5964 | 2007-02-19 |
| 1811123144 | Michelle Renee Fowler | Social Worker | 618 Parsons Rd, Christiana, TN 37037-6128 | 2009-06-01 |
| 1023529377 | David Lowell Crouch | Social Worker | 2850 Cliffside Dr, Christiana, TN 37037-6634 | 2017-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160495 | Annie Paul | Social Worker | 49 Savoy Rd, Christiana, DE 19702-8615 | 2020-10-04 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1720622491 | Tysheena Patrice Conyers | Social Worker | 25 S Old Baltimore Pike Ste 201, Christiana, DE 19702-1540 | 2019-11-05 |
| 1902448608 | Pamela Fay Rudd Owens | Nurse Practitioner | 9165 Big Springs Rd, Christiana, TN 37037-5915 | 2019-10-14 |
| 1770048779 | Onyinye C Myers Dds Pllc | Dentist | 355 Gap Newport Pike, Christiana, PA 17509 | 2019-02-04 |
| 1023529377 | David Lowell Crouch | Social Worker | 2850 Cliffside Dr, Christiana, TN 37037-6634 | 2017-10-13 |
| 1447604988 | Twila Berry | Pharmacist | 8050 Panther Creek Rd, Christiana, TN 37037-5142 | 2016-04-21 |
| 1780016253 | Northern Lancaster County Medical Group | Family Medicine | 1135 Georgetown Road, Suite 201, Christiana, PA 17509 | 2013-08-06 |
| 1083909717 | Victoria Lynn Biles | Dietitian, Registered | 4600 Broiles Rd, Christiana, TN 37037-5726 | 2011-06-10 |
| 1760792105 | Brenda Ann Fairchild | Chiropractor | 300 Christana Medical Ctr., Christiana, DE 19702 | 2010-10-19 |
| Find all providers in CHRISTIANA | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448608 | Pamela Fay Rudd Owens | Nurse Practitioner | 9165 Big Springs Rd, Christiana, TN 37037-5915 | 2019-10-14 |
| 1952619157 | Margaret Anne Shaw | Nurse Practitioner | 25 S Old Baltimore Pike Bldg 1, Christiana, DE 19702-1540 | 2010-09-22 |
| 1669510608 | Robin Lynn Skosko | Nurse Practitioner | 1135 Georgetown Rd, Suite 201, Christiana, PA 17509-9543 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTIANA |
| Zip Code | 37037 |
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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.