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JAXSYN RYKER BLEVINS
NPI 1548979644
Peer Specialist in Beckley, WV

Active since November 16, 2022

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2026, Nov 17, 2022 (2 updates tracked since 2022).

About Jaxsyn Ryker Blevins NPPES

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

JAXSYN RYKER BLEVINS (NPI 1548979644) is an individual peer specialist in Beckley, West Virginia and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1548979644
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJAXSYN RYKER BLEVINS
Location Address118 ANN STBeckley, WV 25801-6402
Mailing Address101 S Eisenhower DrBeckley, WV 25801-4929 · (304) 256-7100 · Fax (304) 256-7159
Phone(304) 890-0452
Sole ProprietorNo
Enumeration DateNovember 16, 2022
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1548979644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
118 ANN ST, Beckley, WV 25801
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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 Jaxsyn Blevins's NPI number?

The NPI number for Jaxsyn Blevins is 1548979644. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Jaxsyn Blevins located?

Jaxsyn Blevins practices at 118 Ann St, Beckley, WV 25801. The listed phone number is (304) 890-0452.

What is Jaxsyn Blevins's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jaxsyn Blevins was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.