Blair K Wanner

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

519 Lansing LN
Bismarck, ND 58504-6563

Phone

(701) 223-5217

NPI assigned

Jun 23, 2023

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1053097139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W RENO AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046247",
            "telephone_number": "701-223-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LANSING LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046563",
            "telephone_number": "701-223-5217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 W Reno Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585046247",
            "country_code": "US",
            "telephone_number": "701-223-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANNER",
        "first_name": "BLAIR",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sommer Wamsley
• McKenzie Wandler
• Ashley Wangler, DDS
• Debra Wangler
• Nicholas Peter Wangler, D.D.S.
• Brianna N Wanner, RDN, LRD
• Jacey Patricia Wanner, OTR/L
• Kaitlyn Jean Wanner, DOT
• Kay A Wanner, LRD, CDE
• Lynnett M Wanner, LSW

• In Home Supportive Care Agency in Bismarck, ND
• Providers in Bismarck, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.