JESSICA DANIELLE BLUST (NPI# 1265866701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265866701 |
| Entity Type | Individual |
| Full Name | JESSICA DANIELLE BLUST |
| Credential | LPN |
| Practice Address |
907 Kenridge Dr Villa Hills KY 41017 |
| Mailing Address |
907 Kenridge St Villa Hills KY 41017-1155 |
| Practice Telephone | 5132378283 |
| Mailing Telephone | 5132378283 |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2016-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 2046175 | KY | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | PN.138705-M-IV | OH | Nursing Service Providers |
| Street Address |
907 KENRIDGE DR |
| City | VILLA HILLS |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1154964963 | Nancy Beth Akers | Licensed Practical Nurse | 451 Marcia St, Ashland, KY 41101-2536 | 2019-10-24 |
| 1730739749 | Tondraleia Lon-shel Lawson | Licensed Practical Nurse | 3113 Kingswood Way, Louisville, KY 40216-4916 | 2019-09-12 |
| 1497304216 | Tammy Melvin | Licensed Practical Nurse | 1425 Ford Hampton Rd, Winchester, KY 40391-8093 | 2019-09-04 |
| 1013577667 | Michael Fuller | Licensed Practical Nurse | 1539 Cuba Rd, Mayfield, KY 42066-6809 | 2019-06-17 |
| 1982160453 | Taree Patillo | Licensed Practical Nurse | 410 Bermuda Ln, Louisville, KY 40213-3318 | 2019-02-20 |
| 1861959314 | Kimberly Ann Matthews | Licensed Practical Nurse | 2812 N Highway 261, Hardinsburg, KY 40143-4983 | 2019-02-20 |
| 1154801041 | James W Strawser | Licensed Practical Nurse | 6209 Ancient Oak Dr Apt 129, Florence, KY 41042-1038 | 2018-08-20 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1568901387 | Appalachian Holdings Company LLC | Licensed Practical Nurse | 519 Booth Rd, Pine Ridge, KY 41360-8805 | 2017-02-13 |
| Find all providers with the same taxonomy | ||||
| City | VILLA HILLS |
| Zip Code | 41017 |
Please comment or provide details below to improve the information on JESSICA DANIELLE BLUST.
| 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.