Active NPI
Preventative Primary Care
- Family Nurse Practitioner
- Taylor, MI
National Provider Identifier
1043531007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704190451
- Legal business name
- PREVENTATIVE PRIMARY CARE
- Practice address
- 20600 Eureka Rd Ste 522
Taylor, MI 48180-5373 - Phone
- (734) 225-6507
- Fax
- (734) 225-6513
- NPI assigned
- Jun 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sheila Marie Blanding, FNP
- Title
- Family Nurse Practitioner
- Phone
- (734) 225-6507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704190451 | MI | Primary |
Addresses
Primary practice location
20600 Eureka Rd Ste 522
Taylor, MI 48180-5373
Mailing address
20600 Eureka Rd Ste 522
Taylor, MI 48180-5373
Phone (734) 225-6507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500H258620 | Other | MI | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Blanding Associates Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Rockwood, MI
- NPI 1831423219
Locations
20600 Eureka Rd
Ste 522
Taylor, MI 48180
Phone (734) 225-6507
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Detroit, MI
- NPI 1891880712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276473600000",
"number": "1043531007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20600 EUREKA RD STE 522",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805373",
"telephone_number": "734-225-6507",
"fax_number": "734-225-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20600 EUREKA RD STE 522",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805373",
"telephone_number": "734-225-6507",
"fax_number": "734-225-6513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTATIVE PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A",
"authorized_official_last_name": "BLANDING",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "734-225-6507",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704190451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "500H258620",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.