Active NPI
Carol E Franzblau, FNP
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1639199102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPPA050005
- Practice address
- 1650 Market St Ste 3600
Philadelphia, PA 19103-7334 - Phone
- (866) 949-0108
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01230900 | NJ | |
| Family Nurse Practitioner | 363LF0000X | SP025458 | PA | |
| Family Nurse Practitioner | 363LF0000X | 025431-23-03 | NH | |
| Family Nurse Practitioner | 363LF0000X | 20244 | CA | |
| Family Nurse Practitioner | 363LF0000X | NPPA050005 | PA | Primary |
Addresses
Primary practice location
1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Mailing address
50 S B B King Blvd Ste 100
Memphis, TN 38103-2626
Phone (901) 422-7644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30342430 | Medicaid | NH |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20244 | CA | MD | Occupational Therapist |
| 26NJ01230900 | NJ | MD | Family Nurse Practitioner |
| NPPA050005 | PA | MD | Family Nurse Practitioner |
| SP025458 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients | |
| DH Family Medicine Nashua Inc | Family | Past | Accepting new patients |
| Landmark Medical of Tennessee PC | Past | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Past | Accepting new patients |
Interoperability endpoints
- ms_cfranzbl@landmarkhealth-direct.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
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- NPI 1386697803
-
- Family Medicine Physician
- Merrimack, NH
- NPI 1063616886
-
- General Practice Physician
- Milwaukee, WI
- NPI 1821700188
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1639199102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S B B KING BLVD STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032626",
"telephone_number": "901-422-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 MARKET ST STE 3600",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191037334",
"telephone_number": "866-949-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANZBLAU",
"first_name": "CAROL",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01230900",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP025458",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "025431-23-03",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20244",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "NPPA050005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30342430",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.