Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Raymond Patrick Blythe, CFNP

Individual provider Nurse Practitioner · NPI 1700210432

Mr. Raymond Patrick Blythe, CFNP is a Nurse Practitioner in Pascagoula, Mississippi. Qualified in 2013, 13 years ago. Practices with Singing River Gulfport, a 76-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
13
Licensed in
MS
In the registry since
2013
Specialties on file
2

Practice location Address checks out

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone: (228) 809-5510
Fax: (228) 809-5519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R871321 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence R871321 (MS)

Record details

NPI number1700210432
Entity typeIndividual (Type 1)
GenderMale
Credentials CFNP
Sole proprietorNo
NPI enumeratedAugust 29, 2013
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022
Mailing address2101 Highway 90, Gautier, MS 39553-5340

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Singing River Gulfport — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pascagoula