Valerie Lynn Blatnik, N.P

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

5734 Issued in TN

Practice address

10006 Chimney Dr
Waxhaw, NC 28173-6898

Phone

(704) 256-3300

NPI assigned

Oct 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1023199361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10006 CHIMNEY DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736898",
            "telephone_number": "704-256-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10006 CHIMNEY DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736898",
            "telephone_number": "704-256-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATNIK",
        "first_name": "VALERIE",
        "middle_name": "LYNN",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TN",
            "license": "5734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1401",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Marvin Bethune
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• Stephanie Bigham, LCSW
• Philip Joseph Bissoondial, OTR/ L
• Blessing & Beyond
• Katherine Melissa Blevins, LPC-A
• Joseph Charles Blizzard, RPH, PH.D.
• Cassie Lynnae Linker Boland, PHARMD
• Brittany Izer Boswell

• Neonatal Nurse Practitioner in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Neonatal Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.