Individual provider Active NPI

Anne Elizabeth Blanchard, PSS, CRM

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1427863331
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
112859 Issued in OR
Practice address
442 NE Simpson St Apt C
Portland, OR 97211-3173
Phone
(503) 501-1741
NPI assigned
Feb 8, 2025
Last updated
Feb 8, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 112859 OR Primary

Addresses

Primary practice location

442 NE Simpson St Apt C
Portland, OR 97211-3173

Mailing address

442 NE Simpson St Apt C
Portland, OR 97211-3173
Phone (503) 501-1741

Other names 1

  • Tempest Elizabeth Blanchard Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112859ORMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1427863331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 NE SIMPSON ST APT C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113173",
            "telephone_number": "503-501-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 NE SIMPSON ST APT C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113173",
            "telephone_number": "503-501-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "PSS, CRM",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "112859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEMPEST",
            "last_name": "BLANCHARD",
            "middle_name": "ELIZABETH",
            "credential": "PSS, THW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.