Chalice Ann Blinick, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4446 Issued in AZ

Practice address

2525 S Rural Rd Ste 4N
Tempe, AZ 85282-2442

Phone

(480) 664-2753

Fax

(480) 664-2818

NPI assigned

Apr 23, 2012

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: chalice.blinick.1@10869.direct.athenahealth.com

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.

• Snapcare Convenience Healthcare Clinic PLLC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1376947655
  Authorized official Same address or phone

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1881952224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E HERMOSA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825351",
            "telephone_number": "480-664-2753",
            "fax_number": "480-664-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S RURAL RD STE 4N",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822442",
            "telephone_number": "480-664-2753",
            "fax_number": "480-664-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINICK",
        "first_name": "CHALICE",
        "middle_name": "ANN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "727846",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidney Blanz-Enright
• Demarra Bledsoe
• William Bleecker, Cota/L
• April Bleicher
• Blessings of Joy Adult Care Home, LLC
• William B Blocher, DDS
• Emelia Block
• Bloodline Mobile Services LLC
• Joshua Zalman Bloomberg, DO
• Robert Joseph Bloomberg, MD

• Family Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.