Individual provider Active NPI

Ianna Blair

  • Family Nurse Practitioner
  • Woodmere, NY
National Provider Identifier
1043966534
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344253 Issued in NY
Practice address
11 Franklin PL
Woodmere, NY 11598-1216
Phone
(516) 341-0151
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344253 NY Primary

Addresses

Primary practice location

11 Franklin PL
Woodmere, NY 11598-1216

Mailing address

837 Jefferson St
Baldwin, NY 11510-4630
Phone (347) 764-8910

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.Practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220429000740 NY Practitioner - Nurse Practitioner 2668869264 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

5 Penn PLZ
FL 23
New York, NY 10001-1810
Phone (718) 360-9370

Hospital & facility affiliations

  • Mt. Sinai at Home Home health agency, Westbury, NY, CCN 337246
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
344253NYMDFamily Nurse Practitioner

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Sheryl a Pearl MD PC CurrentSince Jan 15, 2023 Accepting new patients
Housecalls Medicine Ny East PC CurrentSince Nov 12, 2025 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Jun 1, 2023 Accepting new patients
Housecalls Medicine Ny West PC CurrentSince Nov 12, 2025 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

5 Penn Plz
Fl 19
New York, NY 10001
Phone (718) 360-9370

2914 Lincoln Ave
Oceanside, NY 11572
Phone (516) 317-1681

11 Franklin Pl
Woodmere, NY 11598
Phone (516) 341-0151

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1043966534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 JEFFERSON ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104630",
            "telephone_number": "347-764-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981216",
            "telephone_number": "516-341-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "IANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.Practicefusion.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 Franklin Pl",
            "city": "Woodmere",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115981216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.