Sandra Blanks, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-121681 Issued in AL

Practice address

3208 County Road 667
Henagar, AL 35978-4862

Phone

(256) 996-8944

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dekalb Specialty CareGroup PAC ID 5991244378, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sandra.blanks.1@30893.direct.athenahealth.com

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

• Dekalb Specialty Care

  • Multi-Specialty Clinic/Center
  • Fort Payne, AL
  • NPI 1972366854

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Scottsboro ENT, PC

  dba Dekalb Ear, Nose & Throat

  • Otolaryngology Physician
  • Scottsboro, AL
  • NPI 1942368014

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Dekalb, LLC

  dba DeKalb Regional Medical Center

  • General Acute Care Hospital
  • Fort Payne, AL
  • NPI 1770344665
  Care Compare affiliation

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1568056109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 COUNTY ROAD 667",
            "city": "HENAGAR",
            "state": "AL",
            "postal_code": "359784862",
            "telephone_number": "256-996-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 COUNTY ROAD 667",
            "city": "HENAGAR",
            "state": "AL",
            "postal_code": "359784862",
            "telephone_number": "256-996-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKS",
        "first_name": "SANDRA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-121681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Blevins Adams, RN/BSN
• Advantage Physical Therapy, LLC
• Camp Drugs, LLC
• Kevin Camp
• Crossroads Therapy and Wellness LLC
• Ella Denes, COTA/L
• Andrew Heath Frost, D.C.

• Family Nurse Practitioner in Henagar, AL
• Providers in Henagar, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.