Individual provider Active NPI

Cathy A Blanchard, WHNP

  • Women's Health Nurse Practitioner
  • Powell, WY
National Provider Identifier
1255320602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Practice address
450 Mountain View St
Powell, WY 82435-2212
Phone
(307) 754-7257
Fax
(307) 754-7217
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X WY Primary

Addresses

Primary practice location

450 Mountain View St
Powell, WY 82435-2212

Mailing address

449 Mountain View St
Powell, WY 82435-2232
Phone (307) 754-4559

Other identifiers 1

IdentifierTypeStateIssuer
20385OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000127 WY Practitioner - Nurse Practitioner 6800826439 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Valley Healthcare Inc CurrentSince Jul 1, 2005 Accepting new patients
Powell Valley Health Care Inc CurrentSince Jul 1, 2005 Accepting new patients

Locations

450 Mountain View St
Unit A
Powell, WY 82435
Phone (307) 754-5765

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255320602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352232",
            "telephone_number": "307-754-4559",
            "fax_number": "307-754-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352212",
            "telephone_number": "307-754-7257",
            "fax_number": "307-754-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "CATHY",
        "middle_name": "A",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20385",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

Verify at the official NPI Registry.