| Tammi Endicott Blankenship, NP | |
|
20 Hospital Dr, Logan, WV 25601-3452 | |
| (304) 831-1643 | |
| Not Available |
| Full Name | Tammi Endicott Blankenship |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 20 Hospital Dr, Logan, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477042943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 54203 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Medical Center | Logan, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group West Virginia Pllc | 0941343255 | 44 |
| Entity Name | Boone Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
| Entity Name | Apogee Medical Group West Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669708442 PECOS PAC ID: 0941343255 Enrollment ID: O20100209000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammi Endicott Blankenship, NP Po Box 708760, Sandy, UT 84070-8760 Ph: (801) 352-9500 | Tammi Endicott Blankenship, NP 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1643 |
Timothy M Reed, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1188 | |
Mrs. Amber Ellis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Stollings Ave, Suite 3, Logan, WV 25601 Phone: 304-752-4594 | |
Jenna Marie Hager, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 Hospital Dr, Logan, WV 25601 Phone: 304-896-5200 Fax: 304-896-5300 | |
William Ray Watkins Jr., RN, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601 Phone: 304-784-5404 | |
Takara Leeann Muncy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 174 Lmah Center Rd, Logan, WV 25601 Phone: 304-792-7130 Fax: 304-792-7146 | |
Mr. Printess John Lawrence, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Prosperity Lane, Suite 100, Logan, WV 25601 Phone: 304-831-0073 Fax: 304-831-0471 | |
Patsy Eugenie Stoots, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101 |