Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114356714 Individual Practitioner Female Practitioner

Carissa Fawn Blank , LPN

Licensed Practical Nurse • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Carissa Blank, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Eugene, OR. Practice services are available at 151 W 7TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

151 W 7th Ave
Suite 100

Eugene, OR 974011100

Telephone 5416828779
Fax 5416829924
Associated Practice Facility / Clinic
🏢 Lane County Oregon Facility NPI 1780822692

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
99 Specialists

Practicing in Eugene, OR (741 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OR 201393726LPN

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

2 Associated Practitioners
NPI 1538755186

Master of Science in Nursing, Registered Nurse

Peggy Schultz , RN

Registered Nurse - Administrator

NPI 1659646438

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2015

Registered at 151 W 7TH AVE, SUITE 100, EUGENE, OR 974011100 (Tel: 5416828779)

📍
Updated Business Mailing Address April 30, 2015

Registered at 25110 PERKINS RD, VENETA, OR 974879756 (Tel: 5415050498)

👤
Provider Name / Credentials Updated April 30, 2015

Recorded as CARISSA BLANK, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2015

Licensed Practical Nurse (License #201393726LPN in OR)

🟢
Initial NPI Registration & Enumeration November 04, 2013

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: 1114356714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2013
Last Update: April 30, 2015
Sole Proprietor: No

Mailing Address

25110 Perkins Rd

Veneta, OR 974879756

Phone: 5415050498

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.