Stuart Travis Blevins
Nurse Practitioner - Psychiatric/Mental Health
899 E Broad St
Columbus
, Ohio 43205-1156
Stuart Travis Blevins
Nurse Practitioner - Psychiatric/Mental Health
899 E Broad St
Columbus
, Ohio 43205-1156
(614) 928-9401
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Stuart Travis Blevins
- 3095 Kettering Blvd
- Moraine, OH
- Zip : 45439-1983
- Fax : (614) 928-9401
- Phone : (614) 928-9400
Second Address
- Stuart Travis Blevins
- 899 E Broad St
- Columbus, OH
- Zip : 43205-1156
- Fax : (614) 928-9401
- Phone : (614) 928-9400
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FAQs
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Is Stuart Travis Blevins a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN280389-COA1 | OH |
National Provider Identifier
| NPI | 1013258201 |
|---|---|
| Provider Name | Stuart Travis Blevins |
| First Address | Moraine, OH 45439-1983 |
| Second Address | Columbus, OH 43205-1156 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2013 |
| Last Update Date | 25/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0094077 | (05) | OH |
| 20679468060 | CARESOURCE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.