Marci Marie Blanks, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Bakersfield, CA
NPI 1104479005 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1104479005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95012838 (CA)
- Practice address
- 8325 Brimhall Rd Ste 100
Bakersfield, CA 93312-2245 - Phone
- (661) 679-6720
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191119001669 | CA | Practitioner - Nurse Practitioner | 4082046792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95051078 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Healthcare Services Inc. | Current |
Accepting new patients | |
| Universal Healthcare Services, Inc. | Past | Accepting new patients | |
| Universal Healthcare Services, Inc. | Past |
Accepting new patients | |
| Pain Clinics of Central California, Inc. | Past |
Accepting new patients | |
| Alan F Dakak MD Inc | Past |
Accepting new patients | |
| Universal Urgent Care and Occupational Medicine, Inc. | Family | Past | Accepting new patients |
Locations
2121 Niles St
Bakersfield, CA 93305
Phone (661) 325-1255
2728 Ming Ave
Bakersfield, CA 93304
Phone (661) 587-2468
8325 Brimhall Rd
Ste 100A
Bakersfield, CA 93312
Phone (661) 589-0003
6025 Niles St
Ste A1
Bakersfield, CA 93306
6640 Wible Rd
Bakersfield, CA 93313
Phone (661) 410-9500
2121 Niles St
Ste 200
Bakersfield, CA 93305
Phone (661) 546-9046
8303 Brimhall Rd
#1500
Bakersfield, CA 93312
Phone (661) 587-2468
6055 Niles St
Bakersfield, CA 93306
Phone (661) 363-0436
2734 Ming Ave
Bakersfield, CA 93304
Phone (661) 397-0100
4200 Buck Owens Blvd
Bakersfield, CA 93308
Phone (661) 633-2125
8325 Brimhall Rd
Ste 100
Bakersfield, CA 93312
Phone (661) 587-2468
8200 Stockdale Hwy
#M10318
Bakersfield, CA 93311
Interoperability endpoints
- marci.blanks@3336.securemail.prognocis.com
- marci.blanks@2871.securemail.prognocis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95051078 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95012838 | CA | Yes |
Addresses
Primary practice location
8325 Brimhall Rd Ste 100
Bakersfield, CA 93312-2245
Mailing address
8303 Brimhall Rd BLDG 1500
Bakersfield, CA 93312-2243
Phone (661) 587-2468
Other practice location 1
8303 Brimhall Rd Bldg 1500
Bakersfield, CA 93312-2243
Phone (661) 587-2468
Other practice location 2
9001 S H St
Bakersfield, CA 93307-5948
Phone (661) 328-4260
Other providers in Bakersfield, CA
- Raquel Blancarte
- Paulina Blanco
- Deanna Erin Blankenship-Ackerman
- Clayton Blankenship
- Kami Blankenship
- BLC Glenwood Gardens SNF LH LLC
- BLC Glenwood-Gardens Al-LH, LLC
- Blessed Home Health Care Inc.
- Blessing for All Inc
- Marcella Susanne Bligh
All providers in Bakersfield, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.