MS. KRISTEN KENNEDY BLANDFORD


Address: 4002 Elton Way Ste 104, Greensboro, NC 27406-8973
Phone: 4142483139

MS. KRISTEN KENNEDY BLANDFORD (NPI# 1972027373) 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) 1972027373
Entity Type Individual
Full Name MS. KRISTEN KENNEDY BLANDFORD
Credential NP-C
Practice Address 4002 Elton Way Ste 104
Greensboro
NC 27406-8973
Mailing Address 3814 Buncombe Dr
Greensboro
NC 27407-7326
Practice Telephone 4142483139
Mailing Telephone 4142483139
Enumeration Date 2017-07-28
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024175208 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA VA BOARD OF NURSING 1257845 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
500 Martha Jefferson Dr, Charlottesville, VA 229114668 4346547150
736 Battlefield Blvd N, Chesapeake, VA 233204941 7573128121

Office Location

Street Address 4002 ELTON WAY STE 104
City GREENSBORO
State NC
Zip Code 27406-8973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114188323 Melissa Joy Shelton Physician Assistant 4002 Elton Way Ste 104, Greensboro, NC 27406-8973 2008-06-19
1861900680 Med First Immediate Care & Family Practice, Pa Family Medicine 4002 Elton Way Ste 104, Greensboro, NC 27406-8973 2018-01-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548750201 Lesia Ann Lancaster Counselor 1451 South Elm-eugene Street, Suite 3109, Greensboro, NC 27406 2018-05-17
1538667092 Brittany T. Price Specialist/Technologist 5806 Davis Mill Rd., Greensboro, NC 27406 2018-01-30
1457868168 Therapyworks Counseling, Pllc Clinic/Center 1451 S Elm Eugene St Unit 54, Greensboro, NC 27406 2018-01-03
1548776644 Brent Douglas Sprinkle Counselor 1451 S Elm Eugene St # 3107, Greensboro, NC 27406 2017-12-27
1922537216 Liam Buckley Specialist/Technologist 201 Mcadoo Avenue, Apt 3f, Greensboro, NC 27406 2017-06-08
1669903589 Reba Siler Kennedy Specialist 1325 South Eugene Street, Suite 102, Greensboro, NC 27406 2017-03-22
1811433089 Lee Street Services LLC Community/Behavioral Health 1202 East Mountain St, Unit C, Kernersville, NC 27406 2017-01-12
1811430184 A & A Health Care Agency, Inc. Custodial Care Facility 2600 Kilpatrick-white Rd, Greensboro, NC 27406 2016-11-18
1063877900 Yolanda Deonne Ector Rehabilitation Practitioner 5605 Country Club Rd, Greensboro, NC 27406 2015-12-18
1053785121 Mamie Turner Behavioral Analyst 5202 Olde Forest Dr, Greensboro, NC 27406 2015-11-30
Find all providers in zip 27406

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
1912513573 Deanna Zieglowsky Michaux Nurse Practitioner 3803 Cardinal Ct, Greensboro, NC 27410-9139 2020-09-18
1518581412 Tina Tate Nurse Practitioner Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 2020-06-05
1871145912 Jasmine Mcentyre Nurse Practitioner 605 College Road, Greensboro, NC 27410-4101 2019-07-09
1831673821 Kathryn Monet Bradshaw Nurse Practitioner 1105 Mcdowell Dr, Greensboro, NC 27408-6008 2018-09-17
1093296477 Adebimpe Abimbola Olofintuyi Nurse Practitioner 6000 Black Willow Dr, Greensboro, NC 27405-8202 2018-08-23
1922593094 Constance Foushee Nurse Practitioner 1100 E. Wendover, Greensboro, NC 27405 2018-06-29
1952890824 Peace Dzigbordi Dormon Nurse Practitioner 5695 New Avedon Dr, Greensboro, NC 27455-8399 2018-05-07
1588153316 Caitlyn Cook Johnston Nurse Practitioner 1000 Cowles Clinc Way Ste D-300, Greensboro, GA 30642-5289 2018-05-07
1992214357 Jennifer Lynn Chatmon Nurse Practitioner 307 Pisgah Church Rd Ste J, Greensboro, NC 27455-2758 2017-09-28
1578084034 Cone Health Connected Care, LLC Nurse Practitioner 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 2017-07-05
Find all providers in GREENSBORO

Competitor

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City GREENSBORO
Zip Code 27406

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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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