THOMAS JAMES BLACKWOOD (NPI# 1134657174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134657174 |
| Entity Type | Individual |
| Full Name | THOMAS JAMES BLACKWOOD |
| Credential | RN |
| Practice Address |
1264 Rodeo Rd Santa Fe NM 87505-6816 |
| Mailing Address |
7551 Kachina Loop Santa Fe NM 87507-8440 |
| Practice Telephone | 5059822129 |
| Practice Fax Number | 5059921149 |
| Mailing Telephone | 5056600573 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
R64763 | NM | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | DRIVERS LICENSE | 511022771 | 01 |
| Street Address |
1264 RODEO RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-6816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265683049 | New Mexico Treatment Services LLC | Community/Behavioral Health | 1264 Rodeo Rd, Santa Fe, NM 87505 | 2008-10-10 |
| 1184225278 | Monica Alejandra Munguia | Licensed Practical Nurse | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2020-11-04 |
| 1871100537 | Adriene Harrelson | Licensed Practical Nurse | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2020-09-28 |
| 1770101511 | Margaret Mcnamara | Registered Nurse | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2020-07-08 |
| 1356974661 | Christopher Ford Escareno-clark | Counselor | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2020-02-14 |
| 1134750193 | Ben Isaac Velarde II | Registered Nurse | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2020-01-29 |
| 1154961886 | Nicol Blais | Counselor | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2020-01-10 |
| 1780143669 | Lisa Ann Del Monico | Counselor | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2019-03-19 |
| 1730675497 | Tatjana A Long | Counselor | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2018-07-06 |
| 1609373901 | Ashley Marie Espinoza | Pharmacy Technician | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101511 | Margaret Mcnamara | Registered Nurse | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2020-07-08 |
| 1245719368 | Tulsi Blue | Registered Nurse | 5312 Jaguar Dr, Santa Fe, NM 87507-1827 | 2018-08-09 |
| 1336575687 | Marshia Gyuricz | Registered Nurse | 4100 Lucia Ln, Santa Fe, NM 87507-3000 | 2013-09-18 |
| 1831420454 | Susann Louise Curtis | Registered Nurse | 2001 Chamisa St, Santa Fe, NM 87505-3441 | 2010-01-21 |
| 1558554378 | Steve Allen Carver | Registered Nurse | 5312 Jaguar Dr, Santa Fe, NM 87507-1827 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851843601 | Ronald Haygood Jr. | Registered Nurse | 123 Madeiar Dr Se, Albuquerque, NM 87108 | 2016-10-27 |
| 1346690203 | Melanie Reed | Registered Nurse | 9821 Fostoria Rd Ne, Albuquerque, NM 87111-1244 | 2016-06-21 |
| 1033502596 | Susan Nancy Goeke | Registered Nurse | 123 Madeira Drive S.e., Albuquerque, NM 87108 | 2015-03-09 |
| 1720406713 | Alec J'dan Powell | Registered Nurse | 315 S. Hudson Ste #6, Silver City, NM 88061 | 2014-04-07 |
| 1568717585 | Geraldine Romero | Registered Nurse | 2450 Alamo Se, Albuqerque, NM 87106 | 2012-07-16 |
| 1356374896 | Lynne Nmi Mikkelsen | Registered Nurse | 100 W, Griggs Ave, Las Cruces, NM 88001 | 2006-07-08 |
| 1699380642 | Sarah Heredia | Registered Nurse | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-09-15 |
| 1740753516 | Denise Hernandez | Registered Nurse | 112 Monroe St Ne, Albuquerque, NM 87108-1247 | 2019-01-04 |
| 1356827612 | Gina Alejandra Gutierrez | Registered Nurse | 123 Madeira Dr Se, Albuquerque, NM 87108-2963 | 2018-07-19 |
| 1972042885 | Sandra L Gordon | Registered Nurse | 607 E Apache St, Farmington, NM 87401-6925 | 2017-02-13 |
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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.