Blanche L. Kearley, RN, BSN, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN170986 Issued in GA

Practice address

4750 Waters Ave
Suite 202
Savannah, GA 31404-6200

Phone

(912) 350-7412

Fax

(912) 350-7297

NPI assigned

Jul 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Bachelor on Science - Nursing, Nurse Practitioner, 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.

• MPPG, Inc.

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1033131172
  Medicare reassignment NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1922580133
  NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
  • NPI 1902468697
  NPD
• Homestead Hospice of Augusta, LLC

  • Community Based Hospice Care Agency
  • Augusta, GA
  • NPI 1356683882
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1871978148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BARACO DR STE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314193195",
            "telephone_number": "912-541-4095",
            "fax_number": "912-350-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE",
            "address_2": "SUITE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046200",
            "telephone_number": "912-350-7412",
            "fax_number": "912-350-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARLEY",
        "first_name": "BLANCHE",
        "middle_name": "L.",
        "credential": "RN, BSN, AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN170986",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN170986",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN170986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kat'S Helping Hands LLC
• Patrick Carr Kaufman Sr.
• Mandip Kaur, BCBA
• Kays Heart
• KBS Savannah, LLC
• Deborah A Kearney, PH.D.
• Philip Joseph Keating, M.D.
• Nathan James Keaton-Barnette
• Chelsea Amanda Keedy, PHARMD
• Victoria Keel-Anderson

• Gerontology Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.