Provider Type Icon

ELIZA DAVIS BLANCHETTE M.D. NPI 1063772929


NPI Information

NPI: 1063772929
Provider Name: ELIZA DAVIS BLANCHETTE, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
13123 E 16TH AVE # 328
AURORA, CO
ZIP 80045
Phone: (720) 777-7878
Get Directions

Eliza Davis Blanchette, M.D. is a pediatric nephrology pediatrics in Aurora, CO with 12 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Eliza Davis Blanchette, M.D. NPI is 1063772929. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

13123 E 16TH AVE # 328
AURORA, CO
ZIP 80045-106
Phone: (720) 777-7878
Fax: (720) 777-4592

The NPI 1063772929 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 11/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics62110-20WISCONSINNo
22080N0001XPediatricsNeonatal-Perinatal Medicine62110-20WISCONSINNo
32080P0210XPediatricsPediatric NephrologyDR.0062640COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.