Individual provider Active NPI

Jennifer Blansett, CRNP

  • Pediatrics Physician
  • La Plata, MD
National Provider Identifier
1982219739
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R198500 Issued in MD
Practice address
103 Centennial St Ste C
La Plata, MD 20646-5985
Phone
(301) 934-9111
Fax
(301) 934-9111
NPI assigned
Sep 9, 2020
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R198500 MD Primary

Addresses

Primary practice location

103 Centennial St Ste C
La Plata, MD 20646-5985

Mailing address

103 Centennial St Ste C
La Plata, MD 20646-5985
Phone (301) 934-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Plata Pediatrics & Family Health, LLC CurrentSince Oct 8, 2023 Accepting new patients
La Plata Pediatrics & Family Health, LLC CurrentSince Sep 16, 2020 Accepting new patients

Locations

103 Centennial St
Ste B
La Plata, MD 20646
Phone (301) 200-3032

103 Centennial St
Ste C
La Plata, MD 20646
Phone (301) 934-9111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1982219739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTENNIAL ST STE C",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465985",
            "telephone_number": "301-934-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTENNIAL ST STE C",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465985",
            "telephone_number": "301-934-9111",
            "fax_number": "301-934-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANSETT",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "R198500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.