Nicole Blay, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11035525 Issued in FL

Practice address

1010 N 12TH Ave Ste 307
Pensacola, FL 32501-3492

Phone

(407) 617-4361

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blay Longevity

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1124842299
  NPD Authorized official

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1740936970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 E HERNANDEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325035711",
            "telephone_number": "407-617-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 12TH AVE STE 307",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013492",
            "telephone_number": "407-617-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAY",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ellen Wimsatt Blanda, DNP
• Susanne Elizabeth Blankenbaker, FNP-C
• Josie Blasius
• Blay Longevity
• Charles Blay, D.O.
• Caitlyn Jo Blazier
• Blessing Hands Companion Service
• Blessing Hands Companion Service
• Douglas James Block, PA-C
• Michele Nicole Bloodworth, ND

• Family Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.