NPI 1679219752 · live from the CMS NPI Registry
Donald Lewis Bloodworth, APRN
Nurse Practitioner in Lexington, SC. National Provider Identifier 1679219752, active.
NPI record
| NPI | 1679219752 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 811 W Main St, Lexington, SC 29072 |
| Practice phone | 803-358-6100 |
| Mailing address | 1 Albert Cree Dr, Rutland, VT 05701 |
| Enumerated | May 11, 2022 |
| Last updated | March 18, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 30537 (SC) |
| Nurse Practitioner, Family | 363LF0000X | 026.0126294 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.