Active NPI
James Kelley Blankenship, FNP-C
- Family Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1639536618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08604
- Practice address
- 3619 Ambassador Caffery Pkwy
Lafayette, LA 70503-5132 - Phone
- (337) 534-4410
- NPI assigned
- Jan 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08604 | LA | Primary |
Addresses
Primary practice location
3619 Ambassador Caffery Pkwy
Lafayette, LA 70503-5132
Mailing address
606 Dodson St
New Iberia, LA 70563-1826
Phone (337) 251-1079
Other practice location 1
405 Milton Rd
Maurice, LA 70555-4458
Phone (337) 893-4449
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 |
|---|---|---|---|
| AP08604 | LA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1639536618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 DODSON ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705631826",
"telephone_number": "337-251-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 AMBASSADOR CAFFERY PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035132",
"telephone_number": "337-534-4410"
}
],
"practiceLocations": [
{
"address_1": "405 Milton Rd",
"address_purpose": "LOCATION",
"city": "Maurice",
"state": "LA",
"postal_code": "705554458",
"country_code": "US",
"telephone_number": "337-893-4449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "JAMES",
"middle_name": "KELLEY",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.