Active NPI
Jenna Lyn Blasi, NMD
- Naturopath
- Bridgeport, CT
National Provider Identifier
1346415221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 000381
- Practice address
- 60 Lafayette
University of Bridgeport College of Naturopathic Medici
Bridgeport, CT 06604 - Phone
- (203) 576-4124
- NPI assigned
- Apr 23, 2008
- Last updated
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 000381 | CT | Primary |
Addresses
Primary practice location
60 Lafayette
University of Bridgeport College of Naturopathic Medici
Bridgeport, CT 06604
Mailing address
60 Lafayette St
University of Bridgeport College Naturopathic Medicine
Bridgeport, CT 06604
Phone (203) 576-4124
Other names 1
- Dr. Jennifer Lyn Blasi
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000381 | CT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1346415221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 LAFAYETTE ST",
"address_2": "UNIVERSITY OF BRIDGEPORT COLLEGE NATUROPATHIC MEDICINE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06604",
"telephone_number": "203-576-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 LAFAYETTE",
"address_2": "UNIVERSITY OF BRIDGEPORT COLLEGE OF NATUROPATHIC MEDICI",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06604",
"telephone_number": "203-576-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASI",
"first_name": "JENNA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "NMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "000381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BLASI",
"middle_name": "LYN",
"prefix": "DR.",
"credential": "NMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.