Blandine Deena Thernelus, MSN, ARNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9364601 Issued in FL

Practice address

128 E Brandon Blvd
Brandon, FL 33511-5219

Phone

(813) 915-5459

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adventist Health System Sunbelt IncGroup PAC ID 3274657721, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bthernelus285504@adventhealth.direct-ci.com

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

• Adventist Health System Sunbelt Inc

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1427296730
  Medicare reassignment Care Compare group NPD
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Adventist Health System/Sunbelt, Inc

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1053271114
  NPD
• Adventist Health System/Sunbelt, Inc

  • Family Medicine Physician
  • New Port Richey, FL
  • NPI 1679250187
  NPD
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1235620196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115219",
            "telephone_number": "813-915-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115219",
            "telephone_number": "813-915-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7615 US Highway 70",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381332054",
            "country_code": "US",
            "telephone_number": "901-969-1773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9202 N 56th St",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336175502",
            "country_code": "US",
            "telephone_number": "813-981-0978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28115 Wesley Chapel Blvd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335433204",
            "country_code": "US",
            "telephone_number": "813-981-0986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8706 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336153705",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22829 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346395227",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7420 State Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536110",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17511 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473211",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33670 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346842640",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15602 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336181606",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11180 Spring Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346094648",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8831 Immokalee Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341203914",
            "country_code": "US",
            "telephone_number": "239-304-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERNELUS",
        "first_name": "BLANDINE",
        "middle_name": "DEENA",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9364601",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9364601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.