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NICOLE BLOHM
NPI 1700018728
Physician Assistant in Charlotte, NC

Active since August 10, 2009
5727 PROSPERITY CROSSING DR, SUITE 2200, CHARLOTTE, NC 28269(704) 863-9830 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2019, Feb 13, 2019, Jan 18, 2019 and 9 more (12 updates tracked since 2015).

About Nicole Blohm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BLOHM (NPI 1700018728) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-01566) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1700018728
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE BLOHM
Location Address5727 PROSPERITY CROSSING DR, SUITE 2200Charlotte, NC 28269-2206
Mailing Address5727 Prosperity Crossing Dr, Suite 2200Charlotte, NC 28269-2206
Phone(704) 863-9830
Sole ProprietorNo
Enumeration DateAugust 10, 2009
Last NPPES UpdateFebruary 26, 201912 updates tracked since enumeration
✔ NPI 1700018728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-01566
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5727 PROSPERITY CROSSING DR, Charlotte, NC 28269
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA LYNN TAKAHASHI MD
Pediatrics
5727 PROSPERITY CROSSING DR
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9910
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
LUBNA SIAL ELAHI MD
Pediatrics
5727 PROSPERITY CROSSING DR, STE 1500
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9910
JOSE GUADALUPE DELGADO-ROBLES MD
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
ASHLEY HERRMANN HAM DO
Pediatrics
5727 PROSPERITY CROSSING DR, STE 1500
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9910
VICKI STARLENE SHIPMAN FNP
Nurse Practitioner (Family)
5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9930
AJIRI S. BARNES MD
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
REBECCA LYNN WILSON FNP
Nurse Practitioner
5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Blohm's NPI number?

The NPI number for Nicole Blohm is 1700018728. It was assigned to this individual provider in the NPPES registry on August 10, 2009.

Where is Nicole Blohm located?

Nicole Blohm practices at 5727 Prosperity Crossing Dr Suite 2200, Charlotte, NC 28269. The listed phone number is (704) 863-9830.

What is Nicole Blohm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicole Blohm was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.