Individual provider Active NPI

Christina M Blanton, AGPCCNP

  • Adult Health Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1679001762
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11000370 Issued in FL
Practice address
802 E Dixie Ave
Leesburg, FL 34748-6014
Phone
(352) 326-6011
Fax
(352) 365-1003
NPI assigned
Jun 1, 2017
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 020847 OH
Adult Health Nurse Practitioner 363LA2200X APRN11000370 FL Primary

Addresses

Primary practice location

802 E Dixie Ave
Leesburg, FL 34748-6014

Mailing address

1950 Laurel Manor Dr
The Villages, FL 32162-5603
Phone (407) 761-8846

Other practice location 1

224 W Exchange St Ste 380
Akron, OH 44302-1796
Phone (330) 344-6686

Other practice location 2

1950 Laurel Manor Dr Ste 142
The Villages, FL 32162-5602
Phone (407) 761-8846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@orlandohealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230111000071 FL Practitioner - Nurse Practitioner 4789953266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

1950 Laurel Manor Dr
Suite 142
The Villages, FL 32162-5602
Phone (352) 326-7850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
020847OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Orlando Physicians Network Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

802 E Dixie Ave
Leesburg, FL 34748
Phone (352) 787-1324

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

1950 Laurel Manor Dr
Ste 142
The Villages, FL 32162
Phone (352) 326-7850

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cblanton148687@direct.ccf.org
  • Direct secure messaging: cblanton351991@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1679001762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625603",
            "telephone_number": "407-761-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486014",
            "telephone_number": "352-326-6011",
            "fax_number": "352-365-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 W Exchange St Ste 380",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443021796",
            "country_code": "US",
            "telephone_number": "330-344-6686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Laurel Manor Dr Ste 142",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625602",
            "country_code": "US",
            "telephone_number": "407-761-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "AGPCCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "020847",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@orlandohealth.com",
            "affiliation": "N",
            "address_1": "1950 Laurel Manor Dr Ste 142",
            "city": "The Villages",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321625602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.