Active NPI
Blend Institute LLC
- Specialist
- Bradenton, FL
National Provider Identifier
1730410010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME62136
- Legal business name
- BLEND INSTITUTE LLC
- Practice address
- 1911 Manatee Ave E
Suite 102
Bradenton, FL 34208-1562 - Phone
- (941) 722-5600
- Fax
- (941) 722-5644
- NPI assigned
- Jan 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Blend, M.D.
- Title
- Managing Member
- Phone
- (941) 722-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME62136 | FL | Primary |
Addresses
Primary practice location
1911 Manatee Ave E
Suite 102
Bradenton, FL 34208-1562
Mailing address
1911 Manatee Ave E
Suite 102
Bradenton, FL 34208-1562
Phone (941) 722-5600
National Provider Directory
National Provider DirectoryLocations
1911 Manatee Ave E
Ste 102
Bradenton, FL 34208
Phone (941) 722-5600
908 Riverside Dr
Ste 300B
Palmetto, FL 34221
Phone (941) 722-5600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bradenton, FL
- NPI 1356568729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365033600000",
"number": "1730410010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 MANATEE AVE E",
"address_2": "SUITE 102",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081562",
"telephone_number": "941-722-5600",
"fax_number": "941-722-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 MANATEE AVE E",
"address_2": "SUITE 102",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081562",
"telephone_number": "941-722-5600",
"fax_number": "941-722-5644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLEND INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-26",
"last_updated": "2013-04-04",
"status": "A",
"authorized_official_last_name": "BLEND",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "941-722-5600",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME62136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.