Organization Active NPI

Jennifer Bluntzer PLLC

  • Acute Care Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1679238158
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
JENNIFER BLUNTZER PLLC
Practice address
448 Sendera Loop
Victoria, TX 77904-5325
Phone
(361) 649-5369
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Jennifer Foxell Bluntzer, AGACNP-BCNPI 1114536166
Title
Nurse Practitioner
Phone
(361) 649-5369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

448 Sendera Loop
Victoria, TX 77904-5325

Mailing address

448 Sendera Loop
Victoria, TX 77904-5325
Phone (361) 649-5369

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer@bluntzerindustries.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211111000403 TX Part B Supplier - Clinic/Group Practice 1850780958 Receives reassigned benefits from 1 practitioner
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Locations

6902 N Navarro St
Victoria, TX 77904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1679238158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 SENDERA LOOP",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779045325",
            "telephone_number": "361-649-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 SENDERA LOOP",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779045325",
            "telephone_number": "361-649-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BLUNTZER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BLUNTZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "FOXELL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "361-649-5369",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@bluntzerindustries.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "448 Sendera Loop",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779045325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.