Individual provider Active NPI

Kristin Michelle Blanding, DNP

  • Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1265933451
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-78046 Issued in KS
Practice address
1620 Charles PL
Manhattan, KS 66502-2750
Phone
(785) 776-1400
Fax
(785) 776-7392
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-78046 KS Primary

Addresses

Primary practice location

1620 Charles PL
Manhattan, KS 66502-2750

Mailing address

1620 Charles PL
Manhattan, KS 66502-2750
Phone (785) 776-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20180301001908 KS Practitioner - Nurse Practitioner 1456612761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Women'S Health Group, P.a.Group PAC ID 9739174749, 9 clinicians

Practice addresses (Care Compare)

1620 Charles PL
Manhattan, KS 66502-2750
Phone (785) 776-1400

Hospital & facility affiliations

  • Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-78046KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Women'S Health Group, P.a. CurrentSince Mar 20, 2019 Accepting new patients

Locations

8315 Positano Dr
Manhattan, KS 66502
Phone (785) 776-1400

1620 Charles Pl
Manhattan, KS 66502
Phone (785) 776-1400

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1265933451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-776-1400",
            "fax_number": "785-776-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-776-1400",
            "fax_number": "785-776-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDING",
        "first_name": "KRISTIN",
        "middle_name": "MICHELLE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.