National Provider Identifier
Crissa Carolyn Blankenberg, LPN
Crissa Carolyn Blankenberg, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 324-3100.
Source: public NPPES record, last updated November 13, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1033687629
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 13, 2018
- Last Updated
- November 13, 2018
Practice Location
- 107 N Clinton Ave
- Rochester, NY 14604-1411
Phone: (585) 324-3100
Mailing Address
- 134 Arrowhead Dr
- Rochester, NY 14624-2804
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Crissa Blankenberg is a Rochester-area licensed practical nurse with additional work in developmental-disability support services. New York State OPWDD lists Crissa Blankenberg as an independently authorized support broker in Spencerport, effective October 15, 2025; OPWDD describes support brokers as professionals who help people self-direct services, build a circle of support, and manage a self-direction budget through its self-direction program.
Full Record
- NPI
- 1033687629
- Entity Type
- Individual
- Last Name
- Blankenberg
- First Name
- Crissa
- Middle Name
- Carolyn
- Credential
- LPN
- Mailing Street Address
- 134 Arrowhead Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-2804
- Mailing Country
- US
- Mailing Phone
- (585) 730-0693
- Practice Street Address
- 107 N Clinton Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604-1411
- Practice Country
- US
- Practice Phone
- (585) 324-3100
- Enumeration Date
- November 13, 2018
- Last Updated
- November 13, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)