MS. PENNY BLANDIN (NPI# 1366697989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366697989 |
| Entity Type | Individual |
| Full Name | MS. PENNY BLANDIN |
| Credential | RN |
| Practice Address |
80 Sh 310 Ste 2 Canton NY 13617-1436 |
| Mailing Address |
80 Sh 310 Suite 2 Canton NY 13617-1476 |
| Practice Telephone | 3153862325 |
| Practice Fax Number | 3153862203 |
| Mailing Telephone | 3153862325 |
| Mailing Fax Number | 3153862203 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
423148-1N | NY | Nursing Service Providers |
| Street Address |
80 SH 310 STE 2 |
| City | CANTON |
| State | NY |
| Zip Code | 13617-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240754 | Sabrina Reed | Case Manager/Care Coordinator | 80 Sh 310 Ste 2, Canton, NY 13617-1476 | 2020-09-21 |
| 1437569985 | Catherine Field | Registered Nurse | 80 Sh 310 Ste 2, Canton, NY 13617-1436 | 2014-05-06 |
| 1922431923 | Kindra E Cousineau | Registered Nurse | 80 Sh 310 Ste 2, Canton, NY 13617-1436 | 2013-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902369242 | Michele Lee Earle | Registered Nurse | 80 State Highway 310, Canton, NY 13617-1436 | 2019-04-12 |
| 1306375050 | Kimberly Eve Justice | Registered Nurse | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2017-06-07 |
| 1851399562 | Susan E Groh | Registered Nurse | 220 Oakside Ln, Canton, GA 30114-6418 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665082 | Lisa M Grolling | Registered Nurse | 91 Butcher Rd, Hilton, NY 14468-9706 | 2020-09-28 |
| 1811514565 | Marie Andree Dorce | Registered Nurse | 7214 Bergen Cv, Brooklyn, NY 11234-7100 | 2020-06-29 |
| 1497384648 | Monica Mena | Registered Nurse | 88 Jean Ave, Hempstead, NY 11550-6325 | 2020-04-08 |
| 1609410406 | Marva Pow | Registered Nurse | 3644 Harper Ave, Bronx, NY 10466-5907 | 2019-11-05 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1356800601 | Karene Ortensa Blake | Registered Nurse | 1584 Kenneth Ave, North Baldwin, NY 11510-1659 | 2019-03-17 |
| 1275099491 | Eunhee Kim | Registered Nurse | 105 Echo Ave, Miller Place, NY 11764-2205 | 2019-02-12 |
| 1487122180 | Penny Ann Bloom | Registered Nurse | 188 Clearwater Cir, Rochester, NY 14612-3081 | 2018-11-12 |
| 1952884900 | Annette Novena | Registered Nurse | 1007 E 57th St, Brooklyn, NY 11234-2507 | 2018-09-14 |
| 1316428022 | Quiera Decosta | Registered Nurse | 632 Wilson Ave, Brooklyn, NY 11207-1577 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
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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.