Individual provider Active NPI

Bridget Natalie Blansfield, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679250393
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
232330 Issued in AZ
Practice address
1012 E Willetta St
Phoenix, AZ 85006-2749
Phone
(602) 839-6040
NPI assigned
Jul 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 232330 AZ Primary

Addresses

Primary practice location

1012 E Willetta St
Phoenix, AZ 85006-2749

Mailing address

1012 E Willetta St
Phoenix, AZ 85006-2749
Phone (602) 839-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230829001248 AZ Practitioner - Nurse Practitioner 8325401029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Wound Care Physicians of Arizona PLLCGroup PAC ID 7315369337, 3 clinicians

Practice addresses (Care Compare)

1012 E Willetta St
Phoenix, AZ 85006-2749
Phone (602) 839-6484

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232330AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kachina Family Practice PA CurrentSince Aug 15, 2023 Accepting new patients
Wound Care Physicians of Arizona PLLC CurrentSince Aug 21, 2024 Accepting new patients
Endocrinology Associates P a DTD PastSince Aug 15, 2023 Accepting new patients

Locations

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040

16611 S 40th St
Ste 120
Phoenix, AZ 85048
Phone (480) 706-4100

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.

Hospital & facility affiliations 1

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": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1679250393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062749",
            "telephone_number": "602-839-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062749",
            "telephone_number": "602-839-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANSFIELD",
        "first_name": "BRIDGET",
        "middle_name": "NATALIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "232330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.