Active NPI
Robert Dale Blanchard, RN
- Home Health Registered Nurse
- Casa Grande, AZ
National Provider Identifier
1154637908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN092547
- Practice address
- 1876 E Sabin Dr
Building a
Casa Grande, AZ 85122-6197 - Phone
- (520) 836-2536
- NPI assigned
- Aug 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN092547 | AZ | Primary |
Addresses
Primary practice location
1876 E Sabin Dr
Building a
Casa Grande, AZ 85122-6197
Mailing address
1178 S Park Grove CT
Gilbert, AZ 85296-0914
Phone (480) 857-9848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN092547 | AZ | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1154637908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 S PARK GROVE CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852960914",
"telephone_number": "480-857-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1876 E SABIN DR",
"address_2": "BUILDING A",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851226197",
"telephone_number": "520-836-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "ROBERT",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AZ",
"license": "RN092547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.