Jazzmen Blanks, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA2503256 Issued in IN

Practice address

5501 Old Dover Blvd Apt 1
Fort Wayne, IN 46835-2851

Phone

(260) 445-0633

NPI assigned

Dec 1, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• I Care Home and Personal Care

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1851253371
  NPD Authorized official

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1245192152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD DOVER BLVD APT 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352851",
            "telephone_number": "260-445-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD DOVER BLVD APT 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352851",
            "telephone_number": "260-445-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKS",
        "first_name": "JAZZMEN",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "CNA2503256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Blakey, MSW, LSW
• Melanie Blanchard
• Theodore Joseph-Douglas Blanford, HIS
• Kelsey R Blankenship, RBT
• Larry Nathaniel Blankenship, AUD
• Grant Michael Blauvelt, MSN, FNP-BC
• Nicole M Blauvelt
• Hannah Bledsoe, RBT
• Larry Bledsoe, MD
• Heather Sue Bleeke, PSYD

• Nurse's Aide in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Nurse's Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.