Individual provider Active NPI

Penny Whittington Blanchard, APRN, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1700808425
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
AP02587 Issued in LA
Practice address
500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128
Phone
(225) 928-2555
Fax
(225) 929-9685
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X AP02587 LA
Critical Care Neonatal Nurse Practitioner 363LN0005X AP02587 LA Primary

Addresses

Primary practice location

500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128

Mailing address

500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128
Phone (225) 928-2555

Other identifiers 1

IdentifierTypeStateIssuer
1131539MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP02587LAMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Neonatal Associates, Inc. Past Accepting new patients
Baton Rouge Neonatal Associates, Inc. Neonatal, Critical Care Past Accepting new patients

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1700808425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE",
            "address_2": "SUITE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-928-2555",
            "fax_number": "225-929-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE",
            "address_2": "SUITE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-928-2555",
            "fax_number": "225-929-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "PENNY",
        "middle_name": "WHITTINGTON",
        "name_prefix": "Mrs.",
        "credential": "APRN, NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "LA",
            "license": "AP02587",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "LA",
            "license": "AP02587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1131539",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.