Blanchard, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

01011146 Issued in AZ

Legal business name

BLANCHARD, INC

Doing business as

Direct Diabetes Supply

Practice address

13402 N Scottsdale Rd
Ste A125
Scottsdale, AZ 85254-4054

Phone

(480) 998-5551

Fax

(480) 998-5247

NPI assigned

May 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Simone Blanchard

Title

President

Phone

(480) 998-5551

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Direct Diabetes Supply Doing business as

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427008606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 N SCOTTSDALE RD",
            "address_2": "STE A125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544054",
            "telephone_number": "480-998-5551",
            "fax_number": "480-998-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N SCOTTSDALE RD",
            "address_2": "STE A125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544054",
            "telephone_number": "480-998-5551",
            "fax_number": "480-998-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-998-5551",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "01011146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194067",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0522813",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703167",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000A8177",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35179856",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003385",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XDME01858",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567507",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459017",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Diabetes Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice L Blair, PHD
• Shannon L Blair, M.S.
• Jayme Blais, PSYD
• Geraldine Blakeman, LMFT
• Audrey L Blanchard, LMT
• Shannon Blanco
• Erin Teresa Blandford, M.S.
• Jacob Robert Blank, DO
• Elva Elaine Blanks, PH.D.
• Kelly Ann Blanner, ACNP

• Durable Medical Equipment & Medical Supplies in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.