Abbey Jo Blatt, DNP, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5014093 Issued in NC

Practice address

5500 W Friendly Ave Ste 200
Greensboro, NC 27410-4368

Phone

(336) 373-1996

Fax

(336) 482-2320

NPI assigned

Feb 17, 2021

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 names 1

• Ms. Abbey Jo Horner Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAEGAA

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.

• Eagle Physicians and Associates PA

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1013086321
  NPD (past)
• Eagle Physicians and Associates PA

  • Primary Care Clinic/Center
  • Greensboro, NC
  • NPI 1184665499
  NPD (past)
• Guilford Eye Center OD PA

  • Optometrist
  • Greensboro, NC
  • NPI 1790874329
  NPD (past)

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1104419498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BATTLEGROUND AVE APT 142",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108401",
            "telephone_number": "304-771-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 W FRIENDLY AVE STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104368",
            "telephone_number": "336-373-1996",
            "fax_number": "336-482-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "ABBEY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5014093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abbey.blatt@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5500 W Friendly Ave Ste 200",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274104368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "HORNER",
            "middle_name": "JO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Julia Blankenship, DNP, PMHNP-BC
• Arthur Roberts Blankinship, LCMHCA
• Meghan Blankmann, NP
• Ashley Blanton, LPCA
• Shannon Micheal Blanton
• Rebecca Ann Bledsoe, PHYSICIAN ASSISTANT
• Anthony Blenman
• Blessed Alms II LLC
• Blessed Alms, Inc.
• Blessed New Beginnings, LLC

• All providers in Greensboro, NC
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.