Active NPI
Paula Jeanne Blais, ARNP-C
- Family Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9207271
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 231-1091
- Fax
- (386) 231-1092
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN25980 | RI | |
| Family Nurse Practitioner | 363LF0000X | ARNP9207271 | FL | Primary |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-1091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
775 W Granada Blvd
Suite 102
Ormond Beach, FL 32174-5109
Phone (386) 425-4460
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN25980 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida, Inc | Nurse Practitioner | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Rhode Island Emergency Physicians | Past | Accepting new patients | |
| Comprehensive Hospitalist Services of Naples LLC | Past | Accepting new patients |
Locations
806 S Douglas Rd
Ste 820
Coral Gables, FL 33134
595 N Williamson Blvd
Daytona Beach, FL 32114
Phone (386) 257-4400
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
775 W Granada Blvd
Ste 102
Ormond Beach, FL 32174
Phone (386) 425-4480
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Nurse Practitioner
-
- Hospitalist Physician
- Daytona Beach, FL
- NPI 1851693568
-
- Emergency Medicine Physician
- Wakefield, RI
- NPI 1528009313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1831206945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MEMORIAL MEDICAL PKWY",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175167",
"telephone_number": "386-231-1091",
"fax_number": "386-231-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEMORIAL MEDICAL PKWY",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175167",
"telephone_number": "386-231-1091",
"fax_number": "386-231-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIS",
"first_name": "PAULA",
"middle_name": "JEANNE",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "RN25980",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9207271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.