Active NPI
Betsy Blank, CRNP
- Nurse Practitioner
- Crofton, MD
National Provider Identifier
1962495382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R097929
- Practice address
- 1737 Carry PL
Crofton, MD 21114-2324 - Phone
- (301) 751-3888
- Fax
- (301) 262-7383
- NPI assigned
- Aug 31, 2005
- Last updated
- Nov 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R097929 | MD | Primary |
Addresses
Primary practice location
1737 Carry PL
Crofton, MD 21114-2324
Mailing address
PO Box 465
Lothian, MD 20711-0465
Phone (301) 751-3888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53590002 | Other | DC | CAREFIRST BCBS GHMS |
| 687602100 | Medicaid | MD |
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
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Optical Inc | Past | Accepting new patients | |
| Chester Walk-in Center | Past | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Remedy Express
- Emergency Medical Services (Emergency Medicine) Physician
- Chester, MD
- NPI 1598795510
-
- Geriatric Medicine (Internal Medicine) Physician
- Salisbury, MD
- NPI 1881635183
-
- Optician
- Columbia, MD
- NPI 1467497107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1962495382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 465",
"city": "LOTHIAN",
"state": "MD",
"postal_code": "207110465",
"telephone_number": "301-751-3888",
"fax_number": "301-262-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 CARRY PL",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142324",
"telephone_number": "301-751-3888",
"fax_number": "301-262-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "BETSY",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R097929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS GHMS",
"identifier": "53590002",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "687602100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.