Angela Blair, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400222-1 Issued in NY

Practice address

886 Westchester Ave
Bronx, NY 10459-4010

Phone

(718) 585-5544

NPI assigned

Oct 12, 2006

Last updated

Jun 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Upper Room AIDS Ministry, Inc. Adult Day Health Care Center.

  • Clinic/Center
  • New York, NY
  • NPI 1417986340

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Shlomit Levy

  • Preferred Provider Organization
  • New York, NY
  • NPI 1407219447
  NPD (past)
• St. Ann's Corner of Harm Reduction

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1538547476
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1740379833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594010",
            "telephone_number": "718-585-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594010",
            "telephone_number": "718-585-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400222-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIED",
            "identifier": "2716232631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Blackwell
• Caryl Blackwood
• Kristina Blackwood
• Robert G Blaiklock, R.PH, PH.D,
• Jahmeal Thelma Blain
• Brenda Blair, CASAC
• Carolyn Blair, LMSW
• Evan Blair, PA
• Grace Blair
• Jordana Sarah Blair, DO

• Psychiatric/Mental Health Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.