LORI BLANSETT (NPI# 1851868533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851868533 |
| Entity Type | Individual |
| Full Name | LORI BLANSETT |
| Credential | NP |
| Practice Address |
4381 S Eason Blvd Ste 202 Tupelo MS 38801-6585 |
| Practice Telephone | 6623776610 |
| Practice Fax Number | 6623776614 |
| Mailing Telephone | 6623776610 |
| Mailing Fax Number | 6623776614 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 902990 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01906093 | 05 |
| Street Address |
4381 S EASON BLVD STE 202 |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082137 | Kayla Anglin Moore | Family Medicine | 4381 S Eason Blvd Ste 202, Tupelo, MS 38801-6585 | 2017-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1770968919 | Ouch Urgent Care Inc | Family Medicine | 1710 N Gloster St, Tupelo, MS 38804-1216 | 2015-07-29 |
| 1003166745 | North Mississippi Medical Clinics, Inc. | Family Medicine | 1040a S. Madison St, Tupelo, MS 38801-6300 | 2012-09-10 |
| 1073879029 | North Mississippi Medical Clinics, Inc. | Family Medicine | 1680 S Green St, Tupelo, MS 38804-6543 | 2012-04-04 |
| 1992935266 | William T Jennings | Family Medicine | 826 Clayton Ave, Tupelo, MS 38804-1918 | 2009-07-21 |
| 1003059874 | Aaron Ashley Amos | Family Medicine | 1020 N Gloster St # 123, Tupelo, MS 38804-1202 | 2009-04-09 |
| 1083898803 | Raines Atherton Chaffin | Family Medicine | 125 County Road 1698, Tupelo, MS 33804 | 2007-12-28 |
| 1164629747 | North Mississippi Medical Clinics Inc | Family Medicine | 844 S Madison St Ste B, Tupelo, MS 38801-4904 | 2007-06-28 |
| 1295816072 | William M. Hilbun Jr. | Family Medicine | 874 Barnes Crossing Rd, Suite A, Tupelo, MS 38804-0909 | 2006-10-18 |
| 1659399723 | Phillip Edward Jones | Family Medicine | 1200 N Gloster St, Tupelo, MS 38804-1206 | 2006-07-17 |
| Find all providers in TUPELO | ||||
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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.