EMILY KATHRYN BLANFORD MD
NPI 1629764576
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 13, 2023PECOS Enrolled
1402 S GRAND BLVD # M260, SAINT LOUIS, MO 63104(314) 977-9851(314) 977-9852 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emily Kathryn Blanford Md NPPES

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

EMILY KATHRYN BLANFORD MD (NPI 1629764576) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629764576
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMILY KATHRYN BLANFORDCredential: MD
Location Address1402 S GRAND BLVD # M260Saint Louis, MO 63104-1004
Mailing Address1402 S Grand Blvd # M260Saint Louis, MO 63104-1004 · (314) 977-9851
Fax(314) 977-9852
Sole ProprietorNo
Enumeration DateApril 13, 2023
NPPES CertifiedApril 13, 2023
NPI 1629764576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1402 S GRAND BLVD # M260, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emily Kathryn Blanford Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Anesthesiology
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629764576, enumerated as an "individual" on April 13, 2023.

The provider is located at 1402 S GRAND BLVD # M260 SAINT LOUIS, MO 63104 and the phone number is (314) 977-9851.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.