Active NPI
Virginia A Blackmer, ARNP
- Adult Health Nurse Practitioner
- Laconia, NH
National Provider Identifier
1952371999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 023916-23-05
- Practice address
- 80 Highland St
Laconia, NH 03246-3235 - Phone
- (603) 524-3211
- NPI assigned
- Jan 24, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 023916-23-05 | NH | Primary |
Addresses
Primary practice location
80 Highland St
Laconia, NH 03246-3235
Mailing address
PO Box 1327
Laconia, NH 03247-1327
Phone (603) 524-3211
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30341617 | Medicaid | NH | |
| 383836 | Other | NH | MVP |
| 9756230 | Other | NH | CIGNA |
| 40Y002036NH01 | Other | NH | ANTHEM |
| P42158 | Other | NH | HARVARD PILGRIM HLTHCARE |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952371999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1327",
"city": "LACONIA",
"state": "NH",
"postal_code": "032471327",
"telephone_number": "603-524-3211",
"fax_number": "603-527-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HIGHLAND ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463235",
"telephone_number": "603-524-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMER",
"first_name": "VIRGINIA",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NH",
"license": "023916-23-05",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30341617",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "383836",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9756230",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "40Y002036NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTHCARE",
"identifier": "P42158",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.