Active NPI
Blondel Jarvis
- Family Nurse Practitioner
- Randolph, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN241852
- Practice address
- 5 Scally Cir
Randolph, MA 02368-2443 - Phone
- (339) 837-1449
- Fax
- (339) 837-1076
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN241852 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN241852 | MA | Primary |
Addresses
Primary practice location
5 Scally Cir
Randolph, MA 02368-2443
Mailing address
75 N Main St # 578
Randolph, MA 02368-4605
Phone (339) 837-1449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225317670 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN241852 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England, P.C. | Family | Current | Accepting new patients |
| Massachusetts Acute Care Specialists PC | Current | Accepting new patients | |
| Boston Neurobehavioral Associates, LLC | Current | Accepting new patients | |
| Ipc Hospitalists of New England PC | Current | Accepting new patients | |
| Northeast Health Services, LLC | Current | Accepting new patients | |
| Sound Physicians of Massachusetts, Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts II PC | Current | Accepting new patients | |
| Blondels Health Services LLC | Family | Current | Accepting new patients |
| Sound Physicians of Massachusetts Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts, Inc | Current | Accepting new patients | |
| Prima Care, PC | Past | Accepting new patients |
Locations
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
876 Falmouth Rd
Hyannis, MA 02601
Phone (508) 540-3240
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
67 Union St
Natick, MA 01760
Phone (508) 383-1104
226 Field St
New Bedford, MA 02740
Phone (508) 213-1387
39A Industrial Park Rd
Plymouth, MA 02360
Phone (508) 534-8048
75 N Main St
Randolph, MA 02368
Phone (551) 358-3354
111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858
37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Family Nurse Practitioner
- Randolph, MA
- NPI 1972210037
-
- Psychiatry Physician
- New Bedford, MA
- NPI 1558415307
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1659555266
Family
-
- Internal Medicine Physician
- Melrose, MA
- NPI 1306134812
-
dba Hyland Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1306376397
-
dba Sound Physicians
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Internal Medicine Physician
- Holyoke, MA
- NPI 1184178386
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1225317670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 N MAIN ST # 578",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684605",
"telephone_number": "339-837-1449",
"fax_number": "339-837-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SCALLY CIR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682443",
"telephone_number": "339-837-1449",
"fax_number": "339-837-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "BLONDEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2023-02-24",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN241852",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN241852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225317670",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.