Callie Lynn Blanco, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9334731 Issued in FL

Practice address

6633 Forest Ave Ste 203
New Port Richey, FL 34653-2612

Phone

(727) 849-8771

Fax

(727) 842-4962

NPI assigned

May 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Group practices

Nader H Chadda MD LLCGroup PAC ID 9436398294, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIIBAA

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.

• Nader H Chadda MD LLC

  • Cardiovascular Disease Physician
  • Hudson, FL
  • NPI 1578806774
  Medicare reassignment Care Compare group NPD
• Idicula Medical Associates MD PA

  • Specialist
  • Brooksville, FL
  • NPI 1982781688
  Medicare reassignment NPD
• Florida Cardiology Group LLC

  • Cardiovascular Disease Physician
  • Hudson, FL
  • NPI 1568457521
  NPD (past)
• St Luke Heart Institute Inc

  • Specialist
  • Brooksville, FL
  • NPI 1528196847
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1245729573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD STE 110",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677159",
            "telephone_number": "727-849-8771",
            "fax_number": "727-842-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 FOREST AVE STE 203",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346532612",
            "telephone_number": "727-849-8771",
            "fax_number": "727-842-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "CALLIE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9334731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112062400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Lang Bishop
• Tara Paige Bjorkman, LMHC
• Brooke Blaisdell
• Staci Blakeslee
• Allisha Louise Blanco, D.C.
• Haley M Bland, LCSW
• Blessings Treatment and Recovery Center LLC
• Blessings Treatment and Recovery Center LLC
• Blessings Treatment and Recovery Center LLC
• Blessings Treatment and Recovery Center LLC

• Family Nurse Practitioner in New Port Richey, FL
• Providers in New Port Richey, 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 Aug 16, 2022; 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.