Christiana Blomfield, FNP,CNM
Individual provider Active NPI Family Nurse Practitioner · Brattleboro, VT
NPI 1376825919 · NPPES record last updated Jun 7, 2013
Key facts
- NPI
- 1376825919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1010018856 (VT)
- Practice address
- 21 Belmont Ave
Brattleboro, VT 05301-7110 - Phone
- (802) 258-3905
- Fax
- (802) 258-4903
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010018856 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Northern New England, Inc | Past | Accepting new patients | |
| Primary Care Health Partners - New York LLP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1010018856 | VT | Yes |
| Advanced Practice Midwife | 367A00000X | 1010018856 | VT |
Addresses
Primary practice location
21 Belmont Ave
Brattleboro, VT 05301-7110
Mailing address
600 Blair Park Rd
Suite 190
Williston, VT 05495
Phone (802) 288-1145
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN2519 | Medicaid | VT |
Other providers in Brattleboro, VT
- Herbert T Black
- Jennifer Black
- Autumn Soleil Blais
- Tony Blofson
- Dawn Blom
- Karen Blumberg
- Katherine Jane Bogart
- Susan Anne Boltz-McCarthy
- Teresa Boni
- Kelsea Borelli
All providers in Brattleboro, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.