Individual provider Active NPI

Janis Leigh Blanchard, WHNP CNM

  • Women's Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1720023542
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5010314 Issued in NC
Practice address
100 S Boylan Ave
Raleigh, NC 27603-1802
Phone
(919) 833-7526
Fax
(919) 390-1384
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 17190 CO
Advanced Practice Midwife 367A00000X 676 NC
Women's Health Nurse Practitioner 363LW0102X 5010314 NC Primary

Addresses

Primary practice location

100 S Boylan Ave
Raleigh, NC 27603-1802

Mailing address

100 S Boylan Ave
Raleigh, NC 27603-1802
Phone (919) 833-7526

Other identifiers 1

IdentifierTypeStateIssuer
76683745MedicaidCO

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
676NCMDPediatric Physical Therapist
5010314NCMDWomen's Health Nurse Practitioner
17190COMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1720023542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031802",
            "telephone_number": "919-833-7526",
            "fax_number": "919-390-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031802",
            "telephone_number": "919-833-7526",
            "fax_number": "919-390-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "JANIS",
        "middle_name": "LEIGH",
        "credential": "WHNP CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "17190",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "676",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5010314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76683745",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.