Joy Nicole Blattner, RN, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8299-33 Issued in WI

Practice address

10701 W Research Dr
Wauwatosa, WI 53226-3452

Phone

(414) 940-2246

NPI assigned

Feb 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Joy Nicole Wiedenmeier Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1821598822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W149N6203 POCAHONTAS DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530515814",
            "telephone_number": "262-252-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "414-940-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264216",
            "country_code": "US",
            "telephone_number": "414-259-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLATTNER",
        "first_name": "JOY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN, APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "136445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8299-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APNP LICENSE NUMBER",
            "identifier": "8299-33",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "WIEDENMEIER",
            "middle_name": "NICOLE",
            "credential": "RN, APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michaela Beth Blakeslee, MD
• Devona Dione Blanchard, RN
• Katherine Blaney, PT
• U Michael Blaschke, MD
• Taylor McKenzie Blasius Laborde
• Blessed Babies LLC.
• Blessed Healthcare
• Blessit Hands Home Health Services LLC
• Blessit Hands Personal Care Agency
• Jennifer Bliefernicht

• Family Nurse Practitioner in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.