Individual provider Active NPI

Janet Ellen Bledsoe, MSN,APRN,BC,CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1710949375
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000113 Issued in DE
Practice address
410 Foulk Rd
Suite 105
Wilmington, DE 19803-3820
Phone
(302) 762-2285
Fax
(302) 762-2286
NPI assigned
Apr 6, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000113 DE Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X L1-0040997 DE

Addresses

Primary practice location

410 Foulk Rd
Suite 105
Wilmington, DE 19803-3820

Mailing address

21260 Alligator Aly
Lewes, DE 19958-6812
Phone (443) 610-7336

Other identifiers 1

IdentifierTypeStateIssuer
AN-0008456OtherDECSR

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0040997DEMDPsychiatric/Mental Health Registered Nurse
L8-0000113DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Health Resources, Inc PastSince Nov 26, 2001 Accepting new patients
Medop Behavioral Health Associates of Maryland PC Psychiatric/Mental Health PastSince Nov 1, 2006 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710949375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21260 ALLIGATOR ALY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586812",
            "telephone_number": "443-610-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FOULK RD",
            "address_2": "SUITE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033820",
            "telephone_number": "302-762-2285",
            "fax_number": "302-762-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "JANET",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN,BC,CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000113",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L1-0040997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "AN-0008456",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.