Laura R Blankenship
Nurse Practitioner, Pediatrics in Orangeburg, SC. Individual provider (NPI-1).
NPI number1295210367
StatusActive
Last updated in NPPESMar 17, 2020
Details
- NPI
- 1295210367
- Entity type
- Individual (NPI-1)
- Name
- Laura R Blankenship
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2018
- Certification date
- Mar 17, 2020
- Last updated
- Mar 17, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 22250 | SC | Yes |
Practice location
940 Holly StOrangeburg, SC 29115-4930
Phone 803-536-2725 · Fax 803-534-3118
Mailing address
940 Holly StOrangeburg, SC 29115-4930
Phone 803-536-2725 · Fax 803-534-3118
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Nurse Practitioner providers in Orangeburg, SC
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All 10 Pediatric Nurse Practitioner providers in Orangeburg · All 1,271 providers in Orangeburg
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