Active NPI
Blondels Health Services LLC
- Family Nurse Practitioner
- Randolph, MA
National Provider Identifier
1972210037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BLONDELS HEALTH SERVICES LLC
- Practice address
- 5 Scally Cir
Randolph, MA 02368-2443 - Phone
- (339) 837-1449
- Fax
- (339) 837-1076
- NPI assigned
- Oct 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blondel L Jarvis, NP
- Title
- NP/Owner
- Phone
- (339) 837-1449
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
5 Scally Cir
Randolph, MA 02368-2443
Mailing address
5 Scally Cir
Randolph, MA 02368-2443
Phone (339) 837-1449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110202833A | Medicaid | MA |
Other names 1
- Blondel's Health Services, LLC
National Provider Directory
National Provider DirectoryLocations
75 N Main St
Randolph, MA 02368
Phone (551) 358-3354
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1972210037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SCALLY CIR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682443",
"telephone_number": "339-837-1449",
"fax_number": "339-837-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SCALLY CIR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682443",
"telephone_number": "339-837-1449",
"fax_number": "339-837-1076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLONDELS HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-28",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "JARVIS",
"authorized_official_first_name": "BLONDEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "339-837-1449",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110202833A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blondel's Health Services, LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.