Christopher Blaisdell, CRNP-BC

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

1-153810 Issued in AL

Practice address

525 E 68TH St
New York, NY 10065-4870

Phone

(256) 599-2058

NPI assigned

Apr 3, 2020

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1336778299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 KINGSTON CT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352117900",
            "telephone_number": "256-599-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "256-599-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAISDELL",
        "first_name": "CHRISTOPHER",
        "credential": "CRNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AL",
            "license": "1-153810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rima Blair, PH.D.
• Theresa Clair Blair, LPN
• Rachael Haley Blaire, PA-C
• Leo J Blais
• Adam Blaisdell
• Amy Blaise
• Allen Jay Blaivas, DO
• Jerry Gene Blaivas, M.D.
• Kwanisha T. Blaize, FNP-BC
• Tracey Monique Blake-Dixon, PA-C

• All providers in New York, NY
• Neonatal Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.