Healthcare Provider Details

I. General information

NPI: 1720432008
Provider Name (Legal Business Name): SYDNEY LYNN BLOUNT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYDNEY L REES

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 EMILE STREET
OMAHA NE
68105
US

IV. Provider business mailing address

988102 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8102
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number34551
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-49803
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: