BLAZE J BURNHAM


Address: 13607 E Sprague Ave, Spokane Valley, WA 99216-0809
Phone: 5098923113

BLAZE J BURNHAM (NPI# 1174551022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174551022
Entity Type Individual
Full Name BLAZE J BURNHAM
Credential ARNP
Practice Address 13607 E Sprague Ave
Spokane Valley
WA 99216-0809
Mailing Address 13607 E Sprague Avenue
Spokane Valley
WA 99206
Practice Telephone 5098923113
Practice Fax Number 5098923663
Mailing Telephone 5098923113
Mailing Fax Number 5098923663
Enumeration Date 2006-06-29
Last Update Date 2010-07-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP30004598 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13607 E SPRAGUE AVE
City SPOKANE VALLEY
State WA
Zip Code 99216-0809

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1992318273 Honey Bee Therapy Connections, LLC Clinic/Center 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2020-08-26
1245568872 Amanda Elise Krueger Physical Therapist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2009-11-19
1467689588 Ann Marie Graczyk Speech-Language Pathologist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2009-06-16
1104060029 Norma Jean Smith Specialist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2009-04-22
1053555078 Abigail Marie Shewchuk Occupational Therapist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2009-04-21
1619118783 Stacy Michelle Damiano Physical Therapist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2009-03-18
1669647277 Lisa Machado Physical Therapist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2008-04-24
1366649121 Rachael Schwartz Speech-Language Pathologist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2007-06-27
1568678274 Nichole Carolyn Kostoff Occupational Therapist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2007-05-16
1699823807 Amy Moore White Speech-Language Pathologist 13607 E Sprague Ave, Spokane Valley, WA 99216-0809 2007-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053920124 Aark Laboratory Clinical Medical Laboratory 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 2020-07-24
1922622158 Vera Whole Health Wa, PC Clinic/Center 16009 E Indiana Ave, Spokane Valley, WA 99216 2020-06-03
1023654001 Rebecca Elizabeth Ryan Massage Therapist 12505 E 23rd Ave, Spokane Valley, WA 99216 2019-11-25
1356992903 Creative Communication LLC Speech-Language Pathologist 13607 E. Sprague Ave, Spokane Valley, WA 99216 2019-09-25
1972096584 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 2018-06-08
1356845655 Rp Operations, LLC Assisted Living Facility 13013 E Mission Ave, Spokane Valley, WA 99216 2018-03-21
1174036305 Talk, Learn and Communicate Speech-Language Pathologist 13607 East Spraque Avenue, Spokane Valley, WA 99216 2017-11-09
1134638281 Vtc Vitality Healthcare Pain Medicine 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 2017-09-20
1285150086 Robert C Tsay Jr. Pharmacist 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 2017-08-15
1629505607 Spokane Valley Medical, Inc Durable Medical Equipment & Medical Supplies 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 2017-05-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720542301 Oleg Sandulyak Nurse Practitioner 12709 E Mirabeau Pkwy Ste 200a, Spokane Valley, WA 99216-1665 2019-01-28
1497100598 Ebere D. Ugorji Nurse Practitioner 521 N Argonne Rd Ste B101, Spokane Valley, WA 99212-2877 2016-04-27
1609115393 Susan Schippman Nurse Practitioner 8817 E Mission Ave, Suite 106, Spokane Valley, WA 99212-5055 2013-01-31
1063639003 Rebecca Lynne Reidy Nurse Practitioner 626 N Mullan Rd Ste 16, Spokane Valley, WA 99206-3858 2007-04-19
1821212671 Barbara Jean Frey Nurse Practitioner 13221 E 32nd Ave, Spokane Valley, WA 99216-0138 2007-04-12
1922140904 Christine A Muth Nurse Practitioner 18215 E Appleway Ave, Spokane Valley, WA 99016-9564 2007-02-13
1396833158 Pamela J Vecchio Nurse Practitioner 9227 E Main Ave, Spokane Valley, WA 99206-3768 2006-10-10
1407820632 Johanna Shalom Bruning Nurse Practitioner 12410 E Sinto Ave, Suite 101, Spokane Valley, WA 99216-2199 2006-02-14
1285611905 Jennifer Chamberlain Nurse Practitioner 12104 E Main Ave, Spokane Valley, WA 99206-6105 2005-12-22
1295721439 Andrea Balazs Nurse Practitioner 12410 E Sinto Ave Ste 101, Spokane Valley, WA 99216-2258 2005-09-22
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Competitor

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City SPOKANE VALLEY
Zip Code 99216

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Dataset Information

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.

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