Provider Demographics
NPI:1689460339
Name:BLOUNT, TONIA
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:
Last Name:BLOUNT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 WARNERS DISCOVERY WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4894
Mailing Address - Country:US
Mailing Address - Phone:443-379-9093
Mailing Address - Fax:
Practice Address - Street 1:1550 IRON HORSE WAY
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-2416
Practice Address - Country:US
Practice Address - Phone:443-379-9093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRSA-028152279H0200X, 374U00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide