Marvel Jean Blazek, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A047506 Issued in IA

Practice address

609 SE Kent St
Greenfield, IA 50849-9454

Phone

(641) 743-6189

Fax

(641) 743-6217

NPI assigned

May 20, 2006

Last updated

Aug 5, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1275587701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SE KENT ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499454",
            "telephone_number": "641-743-2123",
            "fax_number": "641-743-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SE KENT ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499454",
            "telephone_number": "641-743-6189",
            "fax_number": "641-743-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEK",
        "first_name": "MARVEL",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A047506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adair County Memorial Hospital (Adair County Memorial Hospital NP Group)
• Adair County Memorial Hospital (Adair County Memorial Hospital Waiver)
• Adair County Mental Health, Inc
• Ambermed, LLC
• David Allen Black, PA
• Care Initiatives (Care Initiatives Hospice - Greenfield)
• Brittany Christoffersen
• County of Adair
• Jenna Evans, PA-C
• Eye Care Associates of Co, LLC (Family Vision Center - Greenfield)

• Family Nurse Practitioner in Greenfield, IA
• Providers in Greenfield, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.