KRISTIN BLANKENSHIP PA
NPI 1174634562
Physician Assistant - Surgical in Springfield, IL

Q: What is Kristin Blankenship's NPI number?

The NPI number for Kristin Blankenship is 1174634562. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Kristin Blankenship's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since August 31, 2006

747 N RUTLEDGE ST, 3RD FLOOR, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-2588 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kristin Blankenship Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN BLANKENSHIP PA (NPI 1174634562) is an individual surgical provider in Springfield, Illinois, licensed in Illinois (085004979) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174634562

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKRISTIN BLANKENSHIPCredential: PA

Location Address747 N RUTLEDGE ST, 3RD FLOORSpringfield, IL 62702-6700

Mailing AddressPo Box 19653Springfield, IL 62794-9653 · (217) 545-8000 · Fax (217) 545-2588

Phone(217) 545-8000

Fax(217) 545-2588

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateNovember 17, 2014

✔ NPI 1174634562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085004979

747 N RUTLEDGE ST, Springfield, IL 62702

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Other Identifiers 4

Other431560263Tricare West

Medicare PIN132680008MO

Medicare PINF400175181IL

OtherP00653958Railroad Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN HENRY M.D.

Obstetrics & Gynecology

747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 757-7932

FRANCES TANGHERLINI LEE M.D.

Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

HEALTHCARE NETWORK ASSOCIATES

Obstetrics & Gynecology

747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 757-7932

MICHAEL HYUN-OOK KIM MD

Internal Medicine (Cardiovascular Disease)

747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

MELINDA K ISAACS RPH

Pharmacist

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 523-0846

DR. MOHAMED RAFA LABEDI MD

Internal Medicine (Cardiovascular Disease)

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

SARA KEBEDE MD, MSCR

Plastic Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-6112

DR. KATIE MCGLONE MD

Plastic Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-6112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Blankenship's NPI number?

The NPI number for Kristin Blankenship is 1174634562. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Kristin Blankenship located?

Kristin Blankenship practices at 747 N Rutledge St 3rd Floor, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Kristin Blankenship's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kristin Blankenship was last updated on November 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.