Individual provider Active NPI

Ilia M. Blandina, CNM

  • Advanced Practice Midwife
  • Boynton Beach, FL
National Provider Identifier
1497798540
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP1644502 Issued in FL
Practice address
2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965
Phone
(561) 742-3929
Fax
(561) 742-3931
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP1644502 FL Primary

Addresses

Primary practice location

2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965

Mailing address

2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965
Phone (561) 742-3929

Other identifiers 1

IdentifierTypeStateIssuer
303927700MedicaidFL

Other names 1

  • Ilia M. Romero 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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP1644502FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
All Womens Healthcare of Southern Florida Inc Advanced Practice Midwife Past Accepting new patients
All Womens Healthcare of South Florida Inc Advanced Practice Midwife Past Accepting new patients
Robert Sussman MD PA Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Advanced Practice Midwife Past Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1497798540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357965",
            "telephone_number": "561-742-3929",
            "fax_number": "561-742-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357965",
            "telephone_number": "561-742-3929",
            "fax_number": "561-742-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDINA",
        "first_name": "ILIA",
        "middle_name": "M.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP1644502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303927700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILIA",
            "last_name": "ROMERO",
            "middle_name": "M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.