Regina Champagne Blanchard, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

Z12106 Issued in LA

Practice address

1307 Old Jeanerette Rd
New Iberia, LA 70563-5800

Phone

(337) 367-3331

Fax

(337) 367-6494

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Miss Regina Blanchard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iberia Sports and Rehabilitation, LLC.

  • Occupational Therapist
  • New Iberia, LA
  • NPI 1750330247
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386676450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635800",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635800",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "REGINA",
        "middle_name": "CHAMPAGNE",
        "name_prefix": "Prof.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z12106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LA LICENSE",
            "identifier": "Z12106",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "BLANCHARD",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harold G Bienvenu III, M.D.
• Bill's Medical Transportation
• Bio-Medical Applications of Louisiana, LLC (Bma New Iberia)
• Black-Smith Trio (Bayou Region Health System)
• Catherine Blanchard, MS-CCC-SLP
• Tessie M Blanchard, AUDIOLOGIST
• Michael Sinclair Blue, M.D.
• Christopher Aaron Bordelon, CRNA
• Thomas Aaron Borland, MD
• Donald Paul Boudreaux Jr., DDS

• Occupational Therapist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.