Stacie Marie Bland, APRN, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP05791 Issued in LA

Practice address

2013 Central Rd
Suite B
Baton Rouge, LA 70807-3918

Phone

(225) 774-1120

Fax

(225) 774-1158

NPI assigned

Sep 24, 2009

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

Enrolled in LA

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacie.bland@brprimarycare.directbygreenway.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Baton Rouge Primary Care Collaborative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1255665832

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Baton Rouge Primary Care Collaborative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1689722431

  5% Or Greater Indirect Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Baton Rouge Primary Care Collaborative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1689722431
  Medicare reassignment NPD Authorized official
• Baton Rouge Primary Care Collaborative, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1255665832
  NPD Authorized official

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1306170386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 CENTRAL RD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708073918",
            "telephone_number": "225-774-1120",
            "fax_number": "225-774-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 CENTRAL RD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708073918",
            "telephone_number": "225-774-1120",
            "fax_number": "225-774-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "STACIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "APRN, DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Antrell Blanchard
• Robert V Blanche, M.D.
• Kristen Yoder Blancher, RN
• Quinten M Blanchette, C.R.N.A.
• Alyssa Nicole Blanco
• Blaney Investments LLC
• Charon Derral Blaney, RN,MBA, DHA
• Joye Blank, CNM
• Bradley Joseph Blasiar, M.D.
• Keisha Kyer Blatcher

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.