Individual provider Active NPI

Maria Blanchard, NP

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1306333794
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3619 Issued in HI
Practice address
1003 Bishop Street
Suite 2700, PMB # 358
Honolulu, HI 96813
Phone
(888) 349-5553
Fax
(888) 349-5553
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008911 CA
Family Nurse Practitioner 363LF0000X APRN-3619 HI Primary

Addresses

Primary practice location

1003 Bishop Street
Suite 2700, PMB # 358
Honolulu, HI 96813

Mailing address

15801 Cobalt St
Sylmar, CA 91342-3507
Phone (818) 983-9720

Other practice location 1

222 W 6th St Ste 40
San Pedro, CA 90731-3316
Phone (888) 493-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008911CAMDFamily Nurse Practitioner
APRN-3619HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benevolence Industries Inc. Past Accepting new patients
Mid City Associates Medical Group PastSince Sep 1, 2010 Accepting new patients

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1306333794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 COBALT ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423507",
            "telephone_number": "818-983-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BISHOP STREET",
            "address_2": "SUITE 2700, PMB # 358",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "888-349-5553",
            "fax_number": "888-349-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W 6th St Ste 40",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907313316",
            "country_code": "US",
            "telephone_number": "888-493-2343",
            "fax_number": "616-591-5691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.