LEIGH ANN BLENDOWSKI NPI 1104275148

NPI Information

NPI: 1104275148
Provider Name: LEIGH ANN BLENDOWSKI
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

PECOS Registration: Yes

Address:
3555 HARDEN STREET EXT STE 141
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-4300
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Leigh Ann Blendowski is a psychiatric/mental health nurse practitioner in Columbia, SC with 5 years of experience. Leigh Ann Blendowski NPI is 1104275148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

3555 HARDEN STREET EXT STE 141
COLUMBIA, SC
ZIP 29203-894
Phone: (803) 434-4300

The NPI 1104275148 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 6/10/2016 and was last updated on 5/3/2021.

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	163W00000X	Registered Nurse		219948	SOUTH CAROLINA	No
2	363L00000X	Nurse Practitioner		23247	SOUTH CAROLINA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	23247	SOUTH CAROLINA	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	NP6273	MEDICAID	SOUTH CAROLINA
2	SCG209A634	OTHER	SOUTH CAROLINA	MEDICARE PART B

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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