Fabienne Paul-Blanc, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

269503 Issued in MA

Practice address

725 Albany St
Shapiro Lower Level
Boston, MA 02118-2526

Phone

(617) 638-6287

Fax

(617) 638-6284

NPI assigned

Mar 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boston University General Surgical Associates, Inc.

  • Surgery Physician
  • Boston, MA
  • NPI 1104865567
  NPD (past)
• Boston University General Surgical Associates, Inc.-QMC

  • Podiatrist
  • Quincy, MA
  • NPI 1396041356
  NPD (past)
• Evans Medical Foundation, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1912954124
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1982875902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE",
            "address_2": "YACC BN-C7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY ST",
            "address_2": "SHAPIRO LOWER LEVEL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182526",
            "telephone_number": "617-638-6287",
            "fax_number": "617-638-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL-BLANC",
        "first_name": "FABIENNE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "269503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "269503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110079011A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Glazer, MD, LLC
• Paul Lessard
• Paul M Cangiano Inc
• Paul M Cangiano Inc
• Paul Sim PLLC
• Aaron Paul, M.D.
• Alexa Paul
• Carline Paul, PMHNP-BC, RN
• Chantal Paul
• David Stewart Paul, DMD

• Family Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.