Debora Ann Blanchard, CPNP APN

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

26NJ00068300 Issued in NJ

Practice address

125 Route 46
Budd Lake, NJ 07828

Phone

(973) 691-9400

Fax

(973) 691-3283

NPI assigned

Aug 4, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

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.

• Lakeview Medical Associates, P.C.

  • Family Medicine Physician
  • Budd Lake, NJ
  • NPI 1730363128
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1346258357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 EMMANS RD",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "07836",
            "telephone_number": "973-584-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ROUTE 46",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-691-9400",
            "fax_number": "973-691-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "DEBORA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CPNP APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "NJ",
            "license": "26NJ00068300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avidd Community Services
• Mary C Barnett, BCBA
• Because We Care Home Care
• Crista Angelique Benjamin
• Christopher Joseph Birchler, PTA
• Emani Bowman
• Sydney Carlon Bradle
• Mark H. Brafman, D.M.D.
• Emily Brennan
• Brian P Brett, M.D.

• Pediatric Clinical Nurse Specialist in Budd Lake, NJ
• Providers in Budd Lake, NJ by specialty
• Pediatric Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.