Bliss Home Based Primary Medical Care

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

BLISS HOME BASED PRIMARY MEDICAL CARE

Practice address

1213 W Morehead St FL 5
Charlotte, NC 28208-5576

Phone

(980) 730-2307

Fax

(980) 730-2308

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Renae Walton, FNPNPI 1639378706

Title

DNP, FNP-BC, Aprn

Phone

(980) 730-2307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BLISS HOME BASED PRIMARY MEDICAL CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26034/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Renae Michelle Walton, FNP

  • Primary Care Nurse Practitioner
  • Charlotte, NC
  • NPI 1639378706
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1699428607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W MOREHEAD ST FL 5",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085576",
            "telephone_number": "980-730-2307",
            "fax_number": "980-730-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W MOREHEAD ST FL 5",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085576",
            "telephone_number": "980-730-2307",
            "fax_number": "980-730-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS HOME BASED PRIMARY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "RENAE",
        "authorized_official_title_or_position": "DNP, FNP-BC, APRN",
        "authorized_official_telephone_number": "980-730-2307",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004187",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLISS HOME BASED PRIMARY MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Nicole Blevins, PA
• William Charles Blevins
• BLH Consultation Inc
• Erika Joy Bliek, PHARMD
• Blink Eye Care and Eye Wear OD., PA
• Susan Bliss
• Blissful Counseling & Consulting, PLLC
• Blissful Living Senior Care Inc
• Blissfull Living Care LLC
• Blissfully Supported Enterprises Inc

• Primary Care Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.