Maureen Blomquist, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

858118 Issued in NV

Practice address

999 Adams Blvd Ste 104-105
Boulder City, NV 89005-2244

Phone

(702) 698-8342

Fax

(702) 293-2807

NPI assigned

Jul 11, 2014

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Riverside-San Bernardino County Indian Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Banning, CA
  • NPI 1437202124
  NPD (past)

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1275949174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052299",
            "telephone_number": "702-293-4111",
            "fax_number": "702-293-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ADAMS BLVD STE 104-105",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052244",
            "telephone_number": "702-698-8342",
            "fax_number": "702-293-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMQUIST",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NV",
            "license": "858118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Benites
• Melinda Bernal
• Krystal Berry
• Samantha Beverly
• Herve Bezard, MD
• Harriet Ann Bly
• Christopher Bolin
• Boulder Chiropractic Inc.
• Boulder City Hospital Inc
• Boulder City Hospital Inc

• Pediatric Nurse Practitioner in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Pediatric Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.