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BRANDI BLOSSOM
NPI 1649784042
Licensed Practical Nurse in Tahlequah, OK

Active since November 21, 2017
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464(918) 207-0078 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandi Blossom NPPES

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

BRANDI BLOSSOM (NPI 1649784042) is an individual licensed practical nurse in Tahlequah, Oklahoma, licensed in Oklahoma (0054037) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1649784042
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRANDI BLOSSOM
Location Address711 S MUSKOGEE AVETahlequah, OK 74464-4717
Mailing Address711 S Muskogee AveTahlequah, OK 74464-4717
Phone(918) 207-0078
Sole ProprietorYes
Enumeration DateNovember 21, 2017
✔ NPI 1649784042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OK · 0054037
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

711 S MUSKOGEE AVE, Tahlequah, OK 74464
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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.

CHARITY K HAMBY
Counselor
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
CYNTHIA DAVID
Counselor (Mental Health)
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 906-2934
JESSICA L WILKIE-GOODMAN
Counselor
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
AMBER STEWART MS, LPC
Counselor
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
TERRAH LYNN MANES LCSW
Counselor (Mental Health)
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
ANA KIM
Social Worker
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 506-0314
DORIE ELIZABETH WATTERS BSW
Counselor (Mental Health)
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
KENNETH LEE EVANS
Counselor
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078

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 Brandi Blossom's NPI number?

The NPI number for Brandi Blossom is 1649784042. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Where is Brandi Blossom located?

Brandi Blossom practices at 711 S Muskogee Ave, Tahlequah, OK 74464. The listed phone number is (918) 207-0078.

What is Brandi Blossom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brandi Blossom was last updated on November 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.