Active NPI
Jayne Wilson Blanchette
- Social Worker
- Simsbury, CT
National Provider Identifier
1932396587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 002663
- Practice address
- 540 Hopmeadow St
Simsbury, CT 06070-2496 - Phone
- (860) 558-8479
- NPI assigned
- Sep 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 002663 | CT | Primary |
Addresses
Primary practice location
540 Hopmeadow St
Simsbury, CT 06070-2496
Mailing address
540 Hopmeadow St
Simsbury, CT 06070-2496
Phone (860) 558-8479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002663 | CT | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1932396587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 HOPMEADOW ST",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060702496",
"telephone_number": "860-558-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 HOPMEADOW ST",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060702496",
"telephone_number": "860-558-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHETTE",
"first_name": "JAYNE",
"middle_name": "WILSON",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "002663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simsbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.