Brittany Blalock Aprn LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRITTANY BLALOCK APRN LLC

Practice address

700 Marsh Cove LN
Ponte Vedra Beach, FL 32082-1694

Phone

(904) 788-4835

Fax

(904) 282-3487

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Brittany S. Blalock, APRN

Title

Aprn

Phone

(904) 778-4838

Specialties & licenses 1

Addresses

Other names 1

• Peaceful Mind NP Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1487324927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MARSH COVE LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821694",
            "telephone_number": "904-788-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MARSH COVE LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821694",
            "telephone_number": "904-788-4835",
            "fax_number": "904-282-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTANY BLALOCK APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "904-778-4838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ehr.charmtracker.com/ehrSignup.sas",
            "affiliation": "N",
            "endpointDescription": "Psychiatry  EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "700 Marsh Cove Ln",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320821694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Peaceful Mind NP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Todd Bowman, OD
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• Carl D Brueggemeyer, M.D.
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• Psychiatric/Mental Health Nurse Practitioner in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.