LISA PATRICE BLEVINS APRN-BC NPI 1073707311

NPI Information

  • NPI: 1073707311
  • Provider Name: LISA PATRICE BLEVINS, APRN-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7850 BRIER CREEK PKWY STE 220
    RALEIGH, NC
    ZIP 27617
  • Phone: (919) 578-7008

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NPI Details

Lisa Patrice Blevins, APRN-BC is a family nurse practitioner in Raleigh, NC. Lisa Patrice Blevins, APRN-BC NPI is 1073707311. 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:

7850 BRIER CREEK PKWY STE 220
RALEIGH, NC
ZIP 27617-900
Phone: (919) 578-7008

The NPI 1073707311 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 7/14/2023.

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
1163W00000XRegistered Nurse5003510NORTH CAROLINANo
2363L00000XNurse Practitioner144763NORTH CAROLINANo
3363LF0000XNurse PractitionerFamily5003510NORTH CAROLINAYes

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
11073707311OTHERNORTH CAROLINAINDIVIDUAL TAX INDENTIFICATION

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: 3/30/2025

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