Nicole Blair

Key facts

NPI

1457701872

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

28229934A (IN)

Practice address

1481 W 10TH St
Indianapolis, IN 46202-2803

Phone

(317) 554-0000

NPI assigned

Jun 16, 2016

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2016.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1457701872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7639 SOLANA DR",
            "address_2": "UNIT 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403094",
            "telephone_number": "260-273-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803",
            "telephone_number": "317-554-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28229934A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

• Casie Ruth Blair-Smith, M.S., CCC-SLP
• Aaron Frederick Blair, MD
• Jennifer Blair, NCSP
• Kirsten Blair
• Mateo Blair
• Austin Blais, MD
• Donna Marie Blake, N.P.-C.
• Ethan Jeffrey Blake, MD
• Hillary S Blake, PSYD
• Kara Mikayla Blake, RPH

All providers in Indianapolis, IN · Registered Nurse in Indiana