MRS. ELIZABETH G BLODGETT (NPI# 1073743332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073743332 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH G BLODGETT |
| Credential | FNP |
| Practice Address |
3440 Bell St Unit 122 Amarillo TX 79109-4100 |
| Practice Telephone | 8063799225 |
| Practice Fax Number | 8063314497 |
| Mailing Telephone | 8063799225 |
| Mailing Fax Number | 8063314497 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
507931 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144452053 | Elizabeth Ann Blodgett | Case Manager/Care Coordinator | 140 North St, Claremont, NH 03743-2038 | 2009-08-12 |
| Street Address |
3440 BELL ST UNIT 122 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053359778 | Tonia Hudson | Physician Assistant | 3440 Bell St Unit 122, Amarillo, TX 79119 | 2006-06-03 |
| 1356982128 | Shauna Boltz | Nurse Practitioner | 3440 Bell St Unit 122, Amarillo, TX 79109-4100 | 2019-10-03 |
| 1467795625 | Behnoush Jaberian Doraji | Physician Assistant | 3440 Bell St Unit 122, Amarillo, TX 79109-4100 | 2013-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831634922 | Shonda Schoon | Clinical Nurse Specialist | 2001 S Coulter St, 2001 S Coulter St., Amarillo, TX 79106-2521 | 2016-12-27 |
| 1881070829 | Virgina Wright | Clinical Nurse Specialist | 1215 S Coulter St, Suite 302, Amarillo, TX 79106-1758 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952103 | Elizabeth Wanjiku Muita | Clinical Nurse Specialist | 4206 Stoney Knoll Ln, Katy, TX 77494-1055 | 2020-11-07 |
| 1558962456 | Keara Rona' Johnson | Clinical Nurse Specialist | 2775 N State Highway 360 Apt 1021, Grand Prairie, TX 75050-7810 | 2020-11-06 |
| 1417503624 | Kamilah Jewel Lyon | Clinical Nurse Specialist | 1111 S Houston Ave # A, Humble, TX 77338-4820 | 2019-08-13 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1073088571 | Lynne Darlene Piascik | Clinical Nurse Specialist | 1643 County Road 2291, Cleveland, TX 77327-0450 | 2018-10-11 |
| 1558843144 | Abc Health Connection, Inc. | Clinical Nurse Specialist | 2019 Crawford St Rm 128, Houston, TX 77002-9002 | 2018-08-30 |
| 1225570096 | Kimberly Young | Clinical Nurse Specialist | 3234 Mossy Elm Ct, Houston, TX 77059-3228 | 2016-11-10 |
| 1245772128 | Wallace Watts Jr. | Clinical Nurse Specialist | 101 Potasio Street, Fabens, TX 79838 | 2016-11-09 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1184179574 | Tamitha Elaine Mackey | Clinical Nurse Specialist | 18419 Vanhorn Ct, Spring, TX 77379-5153 | 2016-08-16 |
| Find all providers with the same taxonomy | ||||
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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.