Organization Active NPI

Blanding & Associates Inc

  • Family Nurse Practitioner
  • Rockwood, MI
National Provider Identifier
1831423219
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704190451 Issued in MI
Legal business name
BLANDING & ASSOCIATES INC
Practice address
31271 Lavender Dr
Rockwood, MI 48173-8739
Phone
(734) 236-4397
Fax
(734) 236-4397
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Mrs. Sheila Marie Blanding, FNP-BC
Title
Family Nurse Practitioner/Owner
Phone
(313) 330-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704190451 MI Primary

Addresses

Primary practice location

31271 Lavender Dr
Rockwood, MI 48173-8739

Mailing address

31271 Lavender Dr
Rockwood, MI 48173-8739
Phone (734) 236-4397

Other names 1

  • Preventative Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100226000819 MI Part B Supplier - Clinic/Group Practice 2961547112 Receives reassigned benefits from 1 practitioner
Practice locations: Southgate, MI

National Provider Directory

National Provider Directory
Tax ID family
Blanding Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1831423219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31271 LAVENDER DR",
            "city": "ROCKWOOD",
            "state": "MI",
            "postal_code": "481738739",
            "telephone_number": "734-236-4397",
            "fax_number": "734-236-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31271 LAVENDER DR",
            "city": "ROCKWOOD",
            "state": "MI",
            "postal_code": "481738739",
            "telephone_number": "734-236-4397",
            "fax_number": "734-236-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANDING & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "BLANDING",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "313-330-5155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704190451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventative Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preventative Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.