Stephanie Janice Blanks, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95014583 Issued in CA

Practice address

500 N Central Ave Ste 900
Glendale, CA 91203-3346

Phone

(818) 662-6950

Fax

(818) 662-6924

NPI assigned

Sep 10, 2020

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1033724737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GLENWOOD RD APT 106",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011918",
            "telephone_number": "818-434-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 900",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033346",
            "telephone_number": "818-662-6950",
            "fax_number": "818-662-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKS",
        "first_name": "STEPHANIE",
        "middle_name": "JANICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armine Bislamyan, PA-C
• Ronald V. Black, O.D.
• Anne Blackstock-Bernstein
• Blanca F Bradley, Licensed Clinical Social Worker, Prof. Corp
• Felipe Blanco, RN
• Diana Blegen-St. John, CCC-SLP
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• Bleu Line Health Inc.
• Ilena Joyce Blicker, M.D.

• All providers in Glendale, CA
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.