MS. TERESA LYNN BLACKWELL (NPI# 1053422246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053422246 |
Entity Type | Individual |
Full Name | MS. TERESA LYNN BLACKWELL |
Other Name | TERESA BLACKWELL MYERS |
Credential | NP |
Practice Address |
3626 Ne 45th St Ste 300 Seattle WA 98105-5653 |
Mailing Address |
19124 Se 416th St Enumclaw WA 98022-9135 |
Practice Telephone | 2065262600 |
Mailing Telephone | 3608024848 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-06-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
AP30007233 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3626 NE 45TH ST STE 300 |
City | SEATTLE |
State | WA |
Zip Code | 98105-5653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134232606 | Heather Anne Cruz | Nurse Practitioner | 3626 Ne 45th St Ste 300, Seattle, WA 98105-5653 | 2006-08-17 |
1184724684 | James Tucker Courtney | Pediatrics | 3626 Ne 45th St Ste 300, Seattle, WA 98105-5653 | 2006-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
Find all providers in zip 98105 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134232606 | Heather Anne Cruz | Nurse Practitioner | 3626 Ne 45th St Ste 300, Seattle, WA 98105-5653 | 2006-08-17 |
1831721448 | Sarah Reilly | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-02-11 |
1316588932 | Aimee Madding | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-04 |
1558927640 | Inna Adzhigirey | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-05-14 |
1891251617 | Christine Tran | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-02-17 |
1205349073 | Tacie Anne Reger | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-11-14 |
1336695311 | Misty L Smith | Nurse Practitioner | Seattle Children's Hospital, 4800 Sand Point Way Ne, M/s Fa.2.113, Seattle, WA 98105 | 2016-08-30 |
1801264270 | Jocelyn Kirk | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-09-02 |
1811373327 | Kimberly Jones | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2015-08-06 |
1871805390 | Linda Marie Gasser | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2010-07-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.