Individual provider Active NPI

Halea Blair, DNP-FNP-C

  • Family Nurse Practitioner
  • Forest Hill, MD
National Provider Identifier
1871249797
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NA Issued in MD
Practice address
1528 Rock Spring Rd Ste 100
Forest Hill, MD 21050-2861
Phone
(443) 776-1131
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NA MD Primary

Addresses

Primary practice location

1528 Rock Spring Rd Ste 100
Forest Hill, MD 21050-2861

Mailing address

2518 Palmer View Dr
Bel Air, MD 21015-1327
Phone (443) 504-2269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220817004026 MD Practitioner - Nurse Practitioner 8325421720 Reassigns benefits to 2 organizations
I20260603002544 FL Practitioner - Nurse Practitioner 8325421720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unique Healthcare Systems, LLCGroup PAC ID 5496058422, 39 clinicians

Practice addresses (Care Compare)

7101 US Hwy 19 N
Pinellas Park, FL 33781-4607
Phone (727) 201-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince May 16, 2022 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
McCoy Medical Group LLC Family CurrentSince Aug 8, 2023 Accepting new patients
Umms Ambulatory Care LLC CurrentSince May 16, 2022 Accepting new patients

Locations

4C North Ave
Ste 403
Bel Air, MD 21014
Phone (410) 879-5170

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

1528 Rock Spring Rd
Ste 100
Forest Hill, MD 21050
Phone (443) 619-7555

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1871249797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 PALMER VIEW DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151327",
            "telephone_number": "443-504-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 ROCK SPRING RD STE 100",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502861",
            "telephone_number": "443-776-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "HALEA",
        "credential": "DNP-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

Verify at the official NPI Registry.