Individual provider Active NPI

Linda M Blazier, NP

  • Adult Health Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1295946192
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304559 Issued in NY
Practice address
290 Center Rd
West Seneca, NY 14224-1945
Phone
(716) 677-4159
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F304559 NY Primary

Addresses

Primary practice location

290 Center Rd
West Seneca, NY 14224-1945

Mailing address

290 Center Rd
West Seneca, NY 14224-1945
Phone (716) 677-4159

Other identifiers 1

IdentifierTypeStateIssuer
F304559OtherNYLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071022000322 NY Practitioner - Nurse Practitioner 5092801001 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F304559NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Buffalo, PC CurrentSince Jul 21, 2019 Accepting new patients
Gynecologic Oncology Associates of Western New York PC Past Accepting new patients

Locations

224 E Main St
Springville, NY 14141
Phone (716) 592-2871

Interoperability endpoints

  • Direct secure messaging: linda_blazier@yourcarecommunity.org

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1295946192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241945",
            "telephone_number": "716-677-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241945",
            "telephone_number": "716-677-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZIER",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "F304559",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.