Individual provider Active NPI

Cynthia A Blanton, NP-C

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1659680726
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007333 Issued in NC
Practice address
1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953
Phone
(828) 591-7702
Fax
(704) 368-7486
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 0024178556 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11032486 FL
Family Nurse Practitioner 363LF0000X 11032486 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024178556 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5007333 NC
Family Nurse Practitioner 363LF0000X 5007333 NC Primary

Addresses

Primary practice location

1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953

Mailing address

PO Box 723
Murphy, NC 28906-0723
Phone (704) 907-0126

Other practice location 1

125 Medical Park Ln Ste G
Murphy, NC 28906-6921
Phone (828) 837-2128

Other practice location 2

14101 Panama City Beach Pkwy Fl 3
Panama City Beach, FL 32413-2871
Phone (704) 907-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20200512001517 VA Practitioner - Nurse Practitioner 2264863083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0024178556VAMDNurse Practitioner
11032486FLMDFamily Nurse Practitioner
5007333NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Lincoln Pediatrics Clinic,PA Single Specialty Past Accepting new patients
Peachtree Pediatrics, PLLC Single Specialty Past Accepting new patients

Locations

400 Gresham Dr
Ste 900
Norfolk, VA 23507
Phone (757) 668-7473

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

Organizations & group practices 3

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1659680726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289060723",
            "telephone_number": "704-907-0126",
            "fax_number": "704-368-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014953",
            "telephone_number": "828-591-7702",
            "fax_number": "704-368-7486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Medical Park Ln Ste G",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "NC",
            "postal_code": "289066921",
            "country_code": "US",
            "telephone_number": "828-837-2128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14101 Panama City Beach Pkwy Fl 3",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324132871",
            "country_code": "US",
            "telephone_number": "704-907-0126",
            "fax_number": "704-368-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178556",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11032486",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032486",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178556",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5007333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.