FELICIA MARIE BLACKENBERRY NPI 1073081279

NPI Information

NPI: 1073081279
Provider Name: FELICIA MARIE BLACKENBERRY
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
3868 EASTRISE DR
GROVEPORT, OH
ZIP 43125
Phone: (614) 920-0106
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Felicia Marie Blackenberry is a home health aide in Groveport, OH. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Felicia Marie Blackenberry NPI is 1073081279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3868 EASTRISE DR
GROVEPORT, OH
ZIP 43125-046
Phone: (614) 920-0106

The enumeration date for this NPI number is 11/6/2018 and was last updated on 11/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide			OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0257866	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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