ROBIN RAIKEN BLEDSOE


Address: 458 Ponce De Leon Ave Ne, Atlanta, GA 30308-1836
Phone: 4048151811

ROBIN RAIKEN BLEDSOE (NPI# 1346638285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346638285
Entity Type Individual
Full Name ROBIN RAIKEN BLEDSOE
Credential PMHCNS-BC
Practice Address 458 Ponce De Leon Ave Ne
Atlanta
GA 30308-1836
Mailing Address 173 Boulevard Ne
Atlanta
GA 30312-1468
Practice Telephone 4048151811
Practice Fax Number 4048151855
Mailing Telephone 4046581500
Mailing Fax Number 4046581535
Enumeration Date 2014-12-30
Last Update Date 2014-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
RN126178CNS GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers ROBIN BLEDSOE

NPI Name Taxonomy Address Enumeration
1649481011 Robin Storm Bledsoe Registered Nurse 34 S Baldwin Ave, Arcadia, FL 34266-3387 2007-05-25

Office Location

Street Address 458 PONCE DE LEON AVE NE
City ATLANTA
State GA
Zip Code 30308-1836

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1972075497 Laura Mcrae Nurse Practitioner Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-21
1265902134 Kyle Brooks Kraft Nurse Practitioner 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-04
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902049398 Robert Davis Cannon Clinical Nurse Specialist 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 2009-04-14
1568632792 Sharon C Grover Clinical Nurse Specialist 20 Glenlake Parkway, Atlanta, GA 30328 2008-03-04
1710157813 Pearl I Billings-wilkinson Clinical Nurse Specialist 341 Ponce De Leon Ave Ne, Atlanta, GA 30308-2012 2008-03-04
1629282785 Joann Jude Karaga Clinical Nurse Specialist 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 2007-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932529021 Dorothy Rainey Clinical Nurse Specialist 2553 Fieldstone Dr Se, Conyers, GA 30013-1945 2014-04-16
1245571082 Deborah A. Becker Clinical Nurse Specialist 205 Dental Dr Ste 3, Warner Robins, GA 31088-8210 2013-03-04
1295062289 Jane A. Frederick Clinical Nurse Specialist 1100 S Marietta Pkwy Se # Md9004, Marietta, GA 30060 2009-11-11
1548445091 Jan T Nodine Clinical Nurse Specialist 1561 Tappan Spur Rd, Watkinsville, GA 30677-3845 2008-01-03
1770791337 Jane Ellen Welch Clinical Nurse Specialist 1501 Kalamazoo Dr # A, Griffin, GA 30224-3919 2007-05-18
1720104102 Kelly West Gilfillan Clinical Nurse Specialist 700 Highway 341 S, Barnesville, GA 30204-3470 2007-03-21
1457822348 Cathy Mcelveen Billiter Clinical Nurse Specialist 1 Freedom Way # 26, Augusta, GA 30904-6258 2018-12-17
1366797391 Julie Inez Burke Clinical Nurse Specialist 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 2012-07-16
1497035380 Dene Ruth Bellamy Clinical Nurse Specialist 3073 Panthersville Road, Decatur, GA 30034 2011-08-23
1972816726 Scott Nelson Howell Clinical Nurse Specialist 1763 Fernside Dr, Toccoa, GA 30577-8095 2010-07-22
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Competitor

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City ATLANTA
Zip Code 30308

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Dataset Information

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.

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