Jennifer Carly Blaire

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN9262861 Issued in FL

Practice address

6500 W Newberry Rd
Gainesville, FL 32605-4392

Phone

(352) 333-4611

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1013485051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 NW 43RD LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063908",
            "telephone_number": "352-359-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054392",
            "telephone_number": "352-333-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIRE",
        "first_name": "JENNIFER",
        "middle_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9262861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ally Blair
• Brenda Blair
• Krissaley Vonn Blair, PT, DPT
• William Olin Blair III, MD
• Yooni Blair, MD
• Charles Richard Blake, MD
• Erica Kukulka Blake, MS, RD, LD/N
• Georgia Blake
• Jewel Blake
• Linda Marie Blake

• Critical Care Medicine Registered Nurse in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Critical Care Medicine Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.