MRS. REBECCA LEA BLANKENSHIP


Address: 4500 Stuart St, Columbia, SC 29207-5700
Phone: 8037516549

MRS. REBECCA LEA BLANKENSHIP (NPI# 1629181466) 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) 1629181466
Entity Type Individual
Full Name MRS. REBECCA LEA BLANKENSHIP
Credential NP
Practice Address 4500 Stuart St
Columbia
SC 29207-5700
Mailing Address 1 Granbury Ct
Columbia
SC 29229
Practice Telephone 8037516549
Mailing Telephone 8032331785
Enumeration Date 2006-08-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2347P KY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 4500 STUART ST
City COLUMBIA
State SC
Zip Code 29207-5700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912505231 Christopher Michael Enke Occupational Therapist 4500 Stuart St, Columbia, SC 29207-5700 2020-10-09
1366071144 Kaitlin Chrastek Specialist/Technologist 4500 Stuart St, Columbia, SC 29207-5700 2020-04-03
1316582455 Melissa Angela Metivier Physical Therapist 4500 Stuart St, Columbia, SC 29207-5700 2019-11-13
1952954695 Jeriann Sandrik Optometrist 4500 Stuart St, Columbia, SC 29207 2019-07-22
1669946455 Tonya Yvette Parks Counselor 4500 Stuart St, Columbia, SC 29207-5700 2019-01-15
1538653795 Jennifer L Willard Licensed Practical Nurse 4500 Stuart St, Columbia, SC 29207-5700 2018-06-20
1114469475 Carrie Elizabeth Green Physical Therapist 4500 Stuart St, Columbia, SC 29207-5700 2016-11-17
1841640489 Daniel Greathouse Optometrist 4500 Stuart St, 3rd Floor Clinic Wing, Columbia, SC 29207-5700 2016-06-14
1356796205 Rajesh Devkota Nurse Practitioner 4500 Stuart St, Columbia, SC 29207-5700 2016-04-28
1114385770 Garry Dredge Physical Therapist 4500 Stuart St, Columbia, SC 29207-5700 2016-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265043756 Steven Mariani Rodriguez Dentist 5330 Moseby Street, Columbia, SC 29207 2020-08-10
1568082493 Nichole Eckrich Dentist 5330 Moseby St., Columbia, SC 29207 2020-04-21
1730733007 Forrest Wane Fullenkamp Student in an Organized Health Care Education/Training Program 5330 Moseby St, Columbia, SC 29207 2019-07-25
1306401625 Kayla Anne Wolcott Pharmacist Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 2019-05-02
1588145098 Renetta Denise Green Counselor Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 2018-08-23
1154814028 Amanda Zelnick Dentist Bldg 5330 Moseby St, Ft Jackson, NC 29207 2018-06-14
1790231777 Brittaney Elizabeth Anne Lewelling Specialist/Technologist 5975 Chesnut Road, Columbia, SC 29207 2016-08-30
1376749838 Moncrief Army Community Hospital Clinic/Center 5330 Mosby Street, Fort Jackson, SC 29207 2007-06-22
1902002462 Moncrief Army Community Hospital Clinic/Center 1890 Washington Road, Fort Jackson, SC 29207 2007-06-22
1730279860 Donna L Briquet Pharmacist 4500 Marion Street, Columbia, SC 29207 2006-10-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114526266 Leslie Desha Nurse Practitioner 1109 Pheasant Run, Columbia, MO 65201-6253 2020-10-20
1407454101 Jason D Jones Nurse Practitioner 213 Austell Dr, Columbia, TN 38401-5531 2020-10-14
1316544315 Rezvaneh Goodarzi Nurse Practitioner 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 2020-10-03
1316559255 Lauren Olivia Lenauer Nurse Practitioner 1600 E Broadway # 300, Columbia, MO 65201-5844 2020-08-21
1285246272 Lourdes Claire De Las Alas Nurse Practitioner 6005 Shepherd Sq, Columbia, MD 21044-3114 2020-08-20
1619587540 Josey Abraham Nurse Practitioner 305 Aiken Hunt Cir, Columbia, SC 29223-8407 2020-08-05
1588274765 Tomeka Nichole Jackson Nurse Practitioner 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 2020-08-03
1528696762 Mark Edward Merkel Nurse Practitioner 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 2020-04-01
1306489265 Andrew Leitch Nurse Practitioner 313 N Trenholm Rd, Columbia, SC 29206-3207 2019-10-23
1760033476 Emily Smith Nurse Practitioner 157 Chinquapin Cir, Columbia, SC 29212-2902 2019-09-24
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Competitor

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City COLUMBIA
Zip Code 29207

Improve Information

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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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