Ingrid Ann Blydenburgh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F-331399-1 Issued in NY

Practice address

20 Barbin Way
Castleton, NY 12033-3228

Phone

(518) 477-2560

NPI assigned

Aug 28, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Capital District Metropolitan Medical Assoc PC

  • Internal Medicine Physician
  • Slingerlands, NY
  • NPI 1073682951
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1811245657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BARBIN WAY",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120333228",
            "telephone_number": "518-477-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BARBIN WAY",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120333228",
            "telephone_number": "518-477-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYDENBURGH",
        "first_name": "INGRID",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F-331399-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Services Company USA, LLC
• Meagan Banker, LMSW
• Augustine N. Barranca III, RPH
• Kelli Ann Barry, MD
• Leigh E Bertsch, P.T.
• Hope Boatwright, MSED
• Jennifer Bologna
• Bower Family Acupuncture PLLC
• Marcia Porter Griffith Bower, MAOM, L.AC.
• Rachel Megan Boyer, SLP

• Family Nurse Practitioner in Castleton, NY
• Providers in Castleton, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.