Individual provider Active NPI

Lori J Blankenship, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1215268404
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2009034584 Issued in MO
Practice address
7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone
(832) 869-4818
NPI assigned
Jan 27, 2010
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2009034584 MO Primary

Addresses

Primary practice location

7877 Willow Chase Blvd
Houston, TX 77070-5934

Mailing address

1403 East Marshall
Charleston, MO 63834
Phone (573) 683-2327

Other practice location 1

1403 East Marshall
Charleston, MO 63834
Phone (573) 683-2327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20111020000037 MO Practitioner - Nurse Practitioner 4284806092 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians
Family Counseling Center IncGroup PAC ID 2163410481, 39 clinicians

Practice addresses (Care Compare)

639 S Silver Springs Rd
Cape Girardeau, MO 63703-7539
Phone 8328694818235

875 State Route VV
Kennett, MO 63857-9108
Phone (573) 888-0642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009034584MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Family CurrentSince Aug 15, 2024 Accepting new patients
Family Counseling Center, Inc. CurrentSince Dec 12, 2024 Accepting new patients
Missouri United Psych LLC CurrentSince Dec 7, 2025 Accepting new patients
Bootheel Counseling Services CurrentSince Jan 8, 2020 Accepting new patients
Bootheel Counseling Services CurrentSince Jan 8, 2020 Accepting new patients
Psychplus Medical Associates, PLLC Family CurrentSince Jan 25, 2025 Accepting new patients
Family Counseling Center, Inc. CurrentSince Dec 12, 2024 Accepting new patients
Cape Girardeau Behavioral Health LLC Family CurrentSince Dec 1, 2022 Accepting new patients
Bootheel Counseling Services Past Accepting new patients
Bootheel Counseling Services PastSince Dec 3, 2023 Accepting new patients

Locations

20 S Sprigg St
Cape Girardeau, MO 63703
Phone (573) 651-4177

910 Truman Blvd
Caruthersville, MO 63830
Phone (573) 333-5202

915 Highway 84 W
Caruthersville, MO 63830
Phone (573) 333-5203

1834 Broadway St
Cpe Girardeau, MO 63701
Phone (573) 334-5070

639 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 708-5000

315 E Walnut St
Ellington, MO 63638
Phone (573) 663-2500

500 State Highway J
Hayti, MO 63851
Phone (573) 359-9840

1109 Jones St
Kennett, MO 63857
Phone (573) 888-6454

875 State Route VV
Kennett, MO 63857
Phone (573) 559-2380

5 Sugar Creek Rd
Piedmont, MO 63957
Phone (573) 223-4169

3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 868-1200

686 Lester St
Poplar Bluff, MO 63901
Phone (573) 686-2411

760 Plantation Blvd
Sikeston, MO 63801
Phone 5734710880245

1015 Lanton Rd
West Plains, MO 65775
Phone (417) 256-2570

3411 Division Dr
West Plains, MO 65775
Phone (417) 257-9152

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1215268404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 EAST MARSHALL",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "63834",
            "telephone_number": "573-683-2327",
            "fax_number": "573-683-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 WILLOW CHASE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705934",
            "telephone_number": "832-869-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 East Marshall",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "MO",
            "postal_code": "63834",
            "country_code": "US",
            "telephone_number": "573-683-2327",
            "fax_number": "573-683-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "LORI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2009034584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.