Active NPI
Kristy Blundell
- Family Nurse Practitioner
- Londonderry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 055238-23
- Practice address
- 40 Buttrick Rd
Londonderry, NH 03053-3381 - Phone
- (603) 434-1919
- NPI assigned
- Aug 17, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 055238-23 | NH | Primary |
Addresses
Primary practice location
40 Buttrick Rd
Londonderry, NH 03053-3381
Mailing address
40 Buttrick Rd
Londonderry, NH 03053-3381
Phone (603) 434-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3105567 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116000670 | NH | Practitioner - Nurse Practitioner | 7517246556 | Reassigns benefits to 2 organizations |
| I20230622000402 | MA | Practitioner - Nurse Practitioner | 7517246556 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Elliot Physicians Network
Practice addresses (Care Compare)
275 Mammoth Rd
Manchester, NH 03109-4133
40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (603) 434-1919
Hospital & facility affiliations
- Vna Home Health and Hospice Services, Inc
- Pathways Healthcare LLC
- Amedisys Home Health
- Elliot Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Current | Accepting new patients | |
| Elliot Physicians Network | Past | Accepting new patients |
Locations
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
40 Buttrick Rd
#B
Londonderry, NH 03053
40 Buttrick Rd
Ste 105
Londonderry, NH 03053
40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
Interoperability endpoints
- kblundell46672@direct.solutionhealth.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1962493940
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Portsmouth, NH
- NPI 1326230251
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
Hospital
-
- Home Health Agency
- Londonderry, NH
- NPI 1275014235
-
- Home Health Agency
- Manchester, NH
- NPI 1548312705
-
- Home Health Agency
- Westwood, MA
- NPI 1740529668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1356896641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BUTTRICK RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533381",
"telephone_number": "603-434-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BUTTRICK RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533381",
"telephone_number": "603-434-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUNDELL",
"first_name": "KRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "055238-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3105567",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.