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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30004598 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
13607 E SPRAGUE AVE |
City | SPOKANE VALLEY |
State | WA |
Zip Code | 99216-0809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in the same location |
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 |
Find all providers in zip 99216 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in SPOKANE VALLEY |
City | SPOKANE VALLEY |
Zip Code | 99216 |
Please comment or provide details below to improve the information on BLAZE J BURNHAM.
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.