India M. Blue, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

104209 Issued in NC

Practice address

327 1St Ave NW
Hickory, NC 28601-6122

Phone

(828) 695-5900

NPI assigned

Feb 17, 2011

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Catawba Valley Medical Center

  dba CVMC Maternity Services

  • Obstetrics Physician
  • Hickory, NC
  • NPI 1285929554
  Medicare reassignment
• Catawba Valley Medical Center

  • Health Educator
  • Hickory, NC
  • NPI 1518524818
  NPD
• Catawba Valley Medical Center

  dba CVMC Palliative Care Services

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Hickory, NC
  • NPI 1619234028
  NPD
• Catawba Valley Medical Center

  dba Catawba Valley Psychiatric Services

  • Psychiatry Physician
  • Hickory, NC
  • NPI 1497792469
  NPD (past)

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1578860110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "828-695-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "INDIA",
        "middle_name": "M.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "104209",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578860110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessed From Above LLC
• Chelsea Blevins
• Joshua James Blevins, MSOT, OTRL
• Blue Ridge Healthcare Medical Group Inc (Blue Ridge Radiology)
• Blue Ridge Healthcare Medical Group, Inc. (Women's Health Group-Hickory)
• Thomas Keith Boan, O.D.
• Abigail Boehm
• Jason Boehme I, DC
• Todd Michael Bohemier, PT/L
• Rachel Boisvert, DPT

• Physician Assistant in Hickory, NC
• Providers in Hickory, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.