MR. JONATHON EDWARD BLUM NP NPI 1558928580

NPI Information

NPI: 1558928580
Provider Name: MR. JONATHON EDWARD BLUM, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: PROVIDENCE HEALTH AND SERVICES WASHINGTON

PECOS Registration: Yes

Address:
3200 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 212-6900
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MR. Jonathon Edward Blum, NP is a psychiatric/mental health nurse practitioner in Anchorage, AK with 5 years of experience. MR. Jonathon Edward Blum, NP NPI is 1558928580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2019

The provider's business location address is:

3200 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508-615
Phone: (907) 212-6900

The NPI 1558928580 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 5/24/2019 and was last updated on 9/20/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	402628	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	166885	ALASKA	Yes

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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