MARIAH BLODGETT (NPI# 1063883064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063883064 |
| Entity Type | Individual |
| Full Name | MARIAH BLODGETT |
| Credential | PMHNP |
| Practice Address |
8050 E Lakeside Pkwy Tucson AZ 85730-1254 |
| Mailing Address |
82 S Stone Ave Tucson AZ 85701-1713 |
| Practice Telephone | 5205845280 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP9035 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1551 E Tangerine Rd, Oro Valley, AZ 857556213 | 5209015300 |
| Street Address |
8050 E LAKESIDE PKWY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942256482 | Rainier J Diaz | Psychiatry & Neurology | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2006-05-26 |
| 1053951285 | Gareth Moore Serrano | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2020-01-15 |
| 1023658390 | Diljot Grewal | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2020-01-14 |
| 1053893693 | Tanya O Weatherby | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2018-08-30 |
| 1164924908 | Sara Rae Pondeca | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2018-03-07 |
| 1003353533 | Holly Marie Hill | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2017-01-23 |
| 1982153649 | Christie Ann Green | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2016-09-22 |
| 1194185264 | Kammy Willems | Social Worker | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2016-03-02 |
| 1700279288 | Susana Villa | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2015-03-09 |
| 1891123188 | Jennifer O'connor | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2013-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| Find all providers in zip 85730 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031563 | Yun Bunch | Nurse Practitioner | 3220 W Ina Rd Apt 3102, Tucson, AZ 85741-2163 | 2020-07-31 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1497370258 | Summit Behavioral Health Pllc | Nurse Practitioner | 8230 E Broadway Blvd Ste E7, Tucson, AZ 85710-4002 | 2020-06-08 |
| 1811523210 | Phillip Allen Stensrud | Nurse Practitioner | 1416 E Linden St, Tucson, AZ 85719-3634 | 2020-03-17 |
| 1952948911 | Esteem Behavioral Healthcare LLC | Nurse Practitioner | 6650 N Oracle Rd Ste 110, Tucson, AZ 85704-5604 | 2019-12-09 |
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1326583014 | Tucson Treatment Center, Inc | Nurse Practitioner | 10573 E Oakbrook St, Tucson, AZ 85747-5966 | 2017-01-04 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1215303946 | Joy Kwakuyi | Nurse Practitioner | 4400 E Broadway Blvd Ste 411, Tucson, AZ 85711-3554 | 2015-08-17 |
| 1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
| Find all providers in TUCSON | ||||
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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.