CHRISTIAN BLACKWELL (NPI# 1124231451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124231451 |
| Entity Type | Individual |
| Full Name | CHRISTIAN BLACKWELL |
| Practice Address |
1353 N Westmoreland Rd Cottage 2 Dallas TX 75211-1655 |
| Practice Telephone | 2143337031 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922494657 | Christian Constance Blackwell | Nurse Practitioner | 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 | 2015-04-09 |
| Street Address |
1353 N WESTMORELAND RD COTTAGE 2 |
| City | DALLAS |
| State | TX |
| Zip Code | 75211-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278686 | Frankie Sims | Speech-Language Pathologist | 1353 N Westmoreland Rd, Bldg. F, Dallas, TX 75211-1655 | 2006-01-03 |
| 1629624606 | Samuel Antonio Ortiz-rodriguez | Counselor | 1353 N Westmoreland Rd, Dallas, TX 75211-1655 | 2019-08-14 |
| 1245700640 | Sheilah J Liech | Nurse Practitioner | 1353 N Westmoreland Rd, Dallas, TX 75211-1655 | 2018-11-28 |
| 1174003073 | Ashley Baer | Occupational Therapist | 1353 N Westmoreland Rd, Dallas, TX 75211-1655 | 2018-08-20 |
| 1790239614 | Caitlin Snyder | Occupational Therapy Assistant | 1353 N Westmoreland Rd, Dallas, TX 75211-1655 | 2016-08-09 |
| 1780035345 | Selena Milles | Psychologist | 1353 N Westmoreland Rd, Bldg F, Dallas, TX 75211-1655 | 2016-06-24 |
| 1457724502 | Beth Wangombe | Nurse Practitioner | 1353 N Westmoreland Rd, Dallas, TX 75211-1655 | 2015-11-10 |
| 1437538071 | Julie Harrison | Dietitian, Registered | 1353 N Westmoreland Rd, Dallas, TX 75211-1655 | 2015-05-28 |
| 1346630001 | Latoya Dunn | Counselor | 1353 N Westmoreland Rd, Dallas, TX 75211-1655 | 2015-02-02 |
| 1851781512 | Gregory Smith II | Counselor | 1353 N Westmoreland Rd, Dallas, TX 75211-1655 | 2015-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883863 | Cre8tive Pediatric Dental Group | Dentist | 2201 Fort Worth Avenue, Dallas, TX 75211 | 2020-02-13 |
| 1104317601 | May Amria | Dentist | 3434 W Illinois Ave Ste 307, Dallas, TX 75211 | 2018-05-21 |
| 1235547787 | Los Barrios Unidos Community Clinic, Inc | Clinic/Center | 4732 W. Illinois, Dallas, TX 75211 | 2014-07-29 |
| 1568733616 | Amit Sethi | Dentist | 4475 Adler Dr Ste 103, Dallas, TX 75211 | 2012-01-21 |
| 1265764914 | Thomas Lee Schiller | Dentist | 1441 N. Cockrell Hill Rd.., Dallas, TX 75211 | 2010-02-05 |
| 1407030570 | Sylvia Dupuy | Speech-Language Pathologist | 1353 N. Westmoreland Rd., Bldg F, Dallas, TX 75211 | 2007-12-24 |
| 1801088802 | Smile Care Orthodontics | Dentist | 4390 I-30, Ste 200, Dallas, TX 75211 | 2007-08-14 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1578785515 | Rabiu E Omolaja | Case Manager/Care Coordinator | 1353 N. Westmoreland Road #2, Dallas, TX 75211 | 2007-05-02 |
| 1982828687 | Yokitha Kenyetta Hamp | Counselor | 1253 Westmoreland, Dallas, TX 75211 | 2007-04-12 |
| Find all providers in zip 75211 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184485 | Rocio Ponce | Case Manager/Care Coordinator | 1314 Grigsby Ave, Dallas, TX 75204-6873 | 2019-06-26 |
| 1144885583 | Deangela Reese | Case Manager/Care Coordinator | 1414 Belleview St Apt 334, Dallas, TX 75215-2241 | 2019-05-01 |
| 1275007551 | Gina L Escamilla | Case Manager/Care Coordinator | 6128 Misty Wood Dr, Dallas, TX 75217-5605 | 2019-01-19 |
| 1447722442 | Demetra L Williams | Case Manager/Care Coordinator | 2026 Cedar Valley Ln, Dallas, TX 75232-2306 | 2019-01-02 |
| 1154809432 | Briona Patterson | Case Manager/Care Coordinator | 1111 W Mockingbird Ln Ste 1030, Dallas, TX 75247-5028 | 2018-07-30 |
| 1457845737 | Jennifer Jo Hamilton | Case Manager/Care Coordinator | 1140 Empire Central Dr Ste 260, Dallas, TX 75247-4322 | 2018-06-19 |
| 1265931695 | Phylisity M Slaughter | Case Manager/Care Coordinator | 2811 Bonnie View Rd, Dallas, TX 75216-3303 | 2018-02-12 |
| 1427563220 | Lisa Shardon | Case Manager/Care Coordinator | 8215 Westchester Dr Ste 213, Dallas, TX 75225-6116 | 2017-12-04 |
| 1700310224 | Shalonda Duncan | Case Manager/Care Coordinator | 1449 Brook Valley Pl, Dallas, TX 75232-1519 | 2017-04-12 |
| 1710418231 | Susan Hibbs | Case Manager/Care Coordinator | 9027 Guildhall Dr, Dallas, TX 75238-3533 | 2017-03-26 |
| Find all providers in DALLAS | ||||
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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.