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David Kyle Blasingame

Physician β€’ Parkersburg, WV

Deactivated NPI 1114763935 Deactivated in NPPES Male Practitioner
Practice location in NPPES

425 Juliana St
Parkersburg, WV 261015352

Phone: 3048939777

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of November 21, 2024; the reason is not published. The records below are historical. They do not show whether David Blasingame currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 02, 2024
NPI Deactivation Date November 21, 2024
NPI Active Period 2024 – 2024

Practice Location & Contact Primary Location

Practice Address

425 Juliana St

Parkersburg, WV 261015352

Telephone 3048939777
Organization at the Same NPPES Address or Phone
Clean & Clear Advantage, Llc Facility NPI 1790390839

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Parkersburg and West Virginia

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: West Virginia State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated November 21, 2024

NPPES lists this NPI as deactivated as of November 21, 2024; the reason is not published.

βœ…
NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 02, 2024

Registered at 425 JULIANA ST, PARKERSBURG, WV 261015352 (Tel: 3048939777)

πŸ“
Business Mailing Address (Initial Record) July 02, 2024

Registered at 425 JULIANA ST, PARKERSBURG, WV 261015352 (Tel: 3048939777)

πŸ‘€
Provider Name / Credentials (Initial Record) July 02, 2024

Recorded as DAVID BLASINGAME

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Community/Behavioral Health

🟒
Initial NPI Registration & Enumeration July 02, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114763935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2024
Last Update: July 02, 2024
Deactivation Date: November 21, 2024

Mailing Address

425 Juliana St

Parkersburg, WV 261015352

Phone: 3048939777

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.