Individual provider Active NPI

Kevin R Blanchard, APRN, BC

  • Adult Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1205995065
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
172084 Issued in MA
Practice address
295 New Boston Rd
Fall River, MA 02720-5800
Phone
(508) 674-9300
Fax
(508) 674-3126
NPI assigned
Dec 7, 2006
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 172084 MA Primary

Addresses

Primary practice location

295 New Boston Rd
Fall River, MA 02720-5800

Mailing address

295 New Boston Rd
Fall River, MA 02720-5800
Phone (508) 675-6532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070321000063 MA Practitioner - Nurse Practitioner 2961505474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

295 New Boston Rd
Fall River, MA 02720-5800
Phone (508) 674-9300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
172084MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Boston Village Primary Care Professional Corporation CurrentSince Feb 28, 2022 Accepting new patients

Locations

295 New Boston Rd
Fall River, MA 02720
Phone (508) 674-9300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25505/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kevin.blanchard.1@25505.direct.athenahealth.com

Organizations & group practices 1

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

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1205995065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 NEW BOSTON RD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205800",
            "telephone_number": "508-675-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 NEW BOSTON RD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205800",
            "telephone_number": "508-674-9300",
            "fax_number": "508-674-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "172084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.