Individual provider Active NPI

Lorraine Claudia Blagman, CRNP FAMILY HEALTH

  • Family Nurse Practitioner
  • Brookhaven, PA
National Provider Identifier
1215297239
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP004035B Issued in PA
Practice address
4021 Woodworth Rd
Brookhaven, PA 19015-1913
Phone
(610) 872-6798
NPI assigned
May 23, 2012
Last updated
May 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

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 TP004035B PA Primary

Addresses

Primary practice location

4021 Woodworth Rd
Brookhaven, PA 19015-1913

Mailing address

4021 Woodworth Rd
Brookhaven, PA 19015-1913
Phone (610) 872-6798

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

State licenses

LicenseStateTypeSpecialty
TP004035BPAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1215297239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 WOODWORTH RD",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190151913",
            "telephone_number": "610-872-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 WOODWORTH RD",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190151913",
            "telephone_number": "610-872-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGMAN",
        "first_name": "LORRAINE",
        "middle_name": "CLAUDIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP FAMILY HEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP004035B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.