Nicole Bladin, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9398062 Issued in FL

Practice address

206 Ash Ave
Melbourne Beach, FL 32951-2402

Phone

(815) 701-6507

NPI assigned

Jan 21, 2014

Last updated

Feb 11, 2021By 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 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sebastian Chiropractic PA

  • Chiropractor
  • Sebastian, FL
  • NPI 1275876807
  NPD

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1275955692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ASH AVE",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512402",
            "telephone_number": "815-701-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ASH AVE",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512402",
            "telephone_number": "815-701-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 N US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329587524",
            "country_code": "US",
            "telephone_number": "815-701-6507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLADIN",
        "first_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011131",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9398062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Align Physical Therapy, Inc.
• Jacquelyn Elizabeth Antal, PMHNP-BC
• Autism Therapy ABA Services LLC
• Beachnspeech
• Kara Beres, LMHC
• Joseph E Bonar, PT
• Brett C Reynolds OD PA (Driftwood Vision Center)
• Carl V Bundschuh, MD
• Jimmie Dean Canole
• Benita Carson

• Nurse Practitioner in Melbourne Beach, FL
• Providers in Melbourne Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.