Individual provider Active NPI

Blondel Jarvis

  • Family Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1225317670
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN241852 Issued in MA
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

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1225317670MedicaidMA

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN241852MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Family CurrentSince May 4, 2015 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Jul 1, 2017 Accepting new patients
Boston Neurobehavioral Associates, LLC CurrentSince Jun 1, 2021 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince May 4, 2015 Accepting new patients
Northeast Health Services, LLC CurrentSince Jul 1, 2024 Accepting new patients
Sound Physicians of Massachusetts, Inc CurrentSince Nov 1, 2017 Accepting new patients
Sound Physicians of Massachusetts II PC CurrentSince Dec 1, 2017 Accepting new patients
Blondels Health Services LLC Family CurrentSince Sep 5, 2023 Accepting new patients
Sound Physicians of Massachusetts Inc Current Accepting new patients
Sound Physicians of Massachusetts, Inc CurrentSince Nov 1, 2017 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.