Heather Nicole Blanton, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

18086 Issued in SC

Practice address

2713 Dantzler Dr
North Charleston, SC 29406-9005

Phone

(843) 764-1722

Fax

(843) 764-1788

NPI assigned

Dec 31, 2012

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Sweetgrass Pediatrics

  • Pediatrics Physician
  • North Charleston, SC
  • NPI 1437168135
  NPD (past)

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1376889998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 DANTZLER DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069005",
            "telephone_number": "843-764-1722",
            "fax_number": "843-764-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 DANTZLER DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069005",
            "telephone_number": "843-764-1722",
            "fax_number": "843-764-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "18086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saraann Fagan Blanchard, NP
• Carleen Bland, PT
• Shanna Bland
• Briana Blaney
• Devan Blankenbaker
• David Corley Blease, PA-C
• Virginia G Blease, PA
• Amy Marie Bleier, LPN
• Blessful Home Care LLC
• Cynthia Bligen

• Pediatric Nurse Practitioner in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.