Stephanie Jemese Blaylock

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-123442 Issued in AL

Practice address

50 Medical Park Dr E
Birmingham, AL 35235-3401

Phone

(904) 372-3943

Fax

(904) 212-1618

NPI assigned

Apr 19, 2022

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

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diabetes Management Partners LLCGroup PAC ID 9436435385, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Vincent'S East Hospital, Birmingham, AL, CCN 010011
• St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

Merit-based Incentive Payment System (MIPS)

Final score

93.91 of 100Reported as group

Quality

90.02

Improvement activities

40

Cost

76.62

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Diabetes Management Partners LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bethpage, NY
  • NPI 1013461193

  AL

  Medicare reassignment Care Compare group NPD
• Diabetes Management Partners LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bel Air, MD
  • NPI 1245101617
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Vincent'S Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation
• St. Vincent'S East

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841308020
  Care Compare affiliation

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1811630643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 BELFORT RD STE 352",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161407",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "STEPHANIE",
        "middle_name": "JEMESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-123442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lartey Blankson, M.D.
• Nancy J Blanton, LCSW
• Paul D Blanton
• Robert Austin Blanton
• Eric M. Blasingame, DDS, MS
• Bledsoe Tate of Princeton, LLC
• Chandler Bledsoe
• Lindsay Katherine Bledsoe, LPC
• Miriam Bleich, MSW LCSW
• Haley Blend

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.