Vanda Blinn, M.D., M.P.H.

Key facts

NPI

1992780167

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

MA205056 (MA)

Practice address

404 Huttleston Ave
Fairhaven, MA 02719-5630

Phone

(508) 996-9333

Fax

(508) 996-3443

NPI assigned

Dec 10, 2005

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Marion Pediatrics, P.C. Pediatrics Physician · Fairhaven, MA · NPI 1043427230
  NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vblinn13376@direct.chppoc.masshiway.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 28, 2013.

{
    "created_epoch": "1134172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1992780167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HUTTLESTON AVE",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195630",
            "telephone_number": "508-996-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HUTTLESTON AVE",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195630",
            "telephone_number": "508-996-9333",
            "fax_number": "508-996-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINN",
        "first_name": "VANDA",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-10",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "MA205056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bio-Medical Applications of Massachusetts, Inc.
• Gina Louise Biscaia, PHARMD
• Leanne M. Bishop, PT
• Elizabeth M Blanchard, MD
• Diane Doris Blier, NP-C, MSN
• Susan Anne Bliss, MSW, LICSW
• Jessica Boldridge
• Pamela Frances Boutin, PHARM D
• Brian K Bowcock, D.C.
• Lauren Braga, COTA/L

All providers in Fairhaven, MA · Pediatrics Physician in Massachusetts