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Active NPI 1932862778 Individual Practitioner Female Practitioner

Blaize Xzavian

Licensed Practical Nurse • Clearwater, FL

Professional Overview & Biography Verified Profile Summary

Blaize Xzavian is a registered healthcare professional specializing in Licensed Practical Nurse in Clearwater, FL. Practice services are available at 4910 CREEKSIDE DR STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4910 Creekside Dr Ste D

Clearwater, FL 337604034

Telephone 7275930003
Associated Practice Facility / Clinic
🏢 Camelot Community Care, Inc. Facility NPI 1679581250

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Clearwater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Clearwater, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-19
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FM 252003

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Charles Bareishis

Social Worker

NPI 1033472949
NPI 1093058182

Master of Science

Carol Caruso , LMHC

Counselor - Mental Health

NPI 1124105887

Licensed Mental Health Counselor

Jennifer Kinderdine , LCSW

Social Worker - Clinical

NPI 1265789069

Licensed Clinical Social Worker

Jadell Patricio , MSW

Counselor - Mental Health

NPI 1457802621

Master of Social Work

NPI 1841547635

Master of Education, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2021

Registered at 4910 CREEKSIDE DR STE D, CLEARWATER, FL 337604034 (Tel: 7275930003)

📍
Updated Business Mailing Address October 19, 2021

Registered at 24808 PERMIT WAY, LAND O LAKES, FL 346396323 (Tel: 8085618234)

👤
Provider Name / Credentials Updated October 19, 2021

Recorded as BLAIZE XZAVIAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2021

Licensed Practical Nurse (License #252003 in FM)

🟢
Initial NPI Registration & Enumeration October 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932862778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2021
Last Update: October 19, 2021
Sole Proprietor: Yes

Mailing Address

24808 Permit Way

Land O Lakes, FL 346396323

Phone: 8085618234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.