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AMELIA E BLYDENBURGH
NPI 1942084926
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since August 22, 2023PECOS Enrolled
1831 PAISLEY ST, SAN ANTONIO, TX 78231(210) 609-8578 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amelia E Blydenburgh NPPES

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

AMELIA E BLYDENBURGH (NPI 1942084926) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942084926
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMELIA E BLYDENBURGH
Location Address1831 PAISLEY STSan Antonio, TX 78231-2419
Mailing Address1831 Paisley StSan Antonio, TX 78231-2419 · (210) 609-8578
Phone(210) 609-8578
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1942084926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1831 PAISLEY ST, San Antonio, TX 78231
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia E Blydenburgh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345728341
PECOS Enrollment IDI20260131000180
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.

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 Amelia Blydenburgh's NPI number?

The NPI number for Amelia Blydenburgh is 1942084926. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Amelia Blydenburgh located?

Amelia Blydenburgh practices at 1831 Paisley St, San Antonio, TX 78231. The listed phone number is (210) 609-8578.

What is Amelia Blydenburgh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amelia Blydenburgh enrolled in Medicare?

Yes. Amelia Blydenburgh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amelia Blydenburgh was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.