DR. WILLIAM LAFAYETTE BLEVINS (NPI# 1265644439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265644439 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LAFAYETTE BLEVINS |
| Credential | PHD |
| Practice Address |
1646 Russell Ave Baker 200 Jefferson City TN 37760-2204 |
| Mailing Address |
1234 Sarasota Dr Jefferson City TN 37760-5238 |
| Practice Telephone | 8654713274 |
| Mailing Telephone | 8654754179 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
0000000174 | TN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 0000000049 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154957314 | William Jay Blevins | Marriage & Family Therapist | 2564 Branch St Ste B5, Middleton, WI 53562-2850 | 2020-03-19 |
| 1982710042 | William Robert Blevins | Dentist | 1136 So. Ft. Thomas Ave, Ft. Thomas, KY 41075-1910 | 2006-08-22 |
| 1992762439 | William Leonard Blevins | Internal Medicine | 101 Ocean Blvd, Mogul Medical Urgent Care, Taos Ski Valley, NM 87525-0067 | 2006-04-27 |
| Street Address |
1646 RUSSELL AVE BAKER 200 |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225013907 | Sharon Mcanear | Nurse Practitioner | 1646 Russell Ave, Carson-newman College, Jefferson City, TN 37760-2204 | 2005-12-14 |
| 1538647839 | Kayla Austin Jones | Specialist/Technologist | 1646 Russell Ave, Jefferson City, TN 37760-2232 | 2018-07-30 |
| 1881113918 | Kelsey Roy | Specialist/Technologist | 1646 Russell Ave, Jefferson City, TN 37760-2204 | 2017-09-09 |
| 1922559954 | Jenna Kaetzel | Specialist/Technologist | 1646 Russell Ave, Jefferson City, TN 37760-2204 | 2016-10-14 |
| 1922558493 | James Owen Hensley | Specialist/Technologist | 1646 Russell Ave, Jefferson City, TN 37760-2204 | 2016-10-10 |
| 1831504323 | Whitney Marie Matchette | Nurse Practitioner | 1646 Russell Ave, Jefferson City, TN 37760-2204 | 2014-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170219 | Marissa R Abbott | Counselor | 919 Wildwood Dr, Suite 104, Jefferson City, MO 65109-5798 | 2015-12-15 |
| 1043647605 | Gail R Black | Counselor | 2202 Marilyn Dr, Jefferson City, MO 65109-0929 | 2013-09-27 |
| 1649617556 | Carl Adams Adams | Counselor | 1803 Sun Valley Dr, Suite B, Jefferson City, MO 65109-2178 | 2013-05-31 |
| 1891048799 | James Marion Smith | Counselor | 936 Sardonyx Dr, Jefferson City, MO 65109-6852 | 2012-10-17 |
| 1154602266 | Roger Dale Whittler | Counselor | 312 W Dunklin St, Jefferson City, MO 65101-1617 | 2011-09-01 |
| 1851679823 | Alexa Lynn Thompson | Counselor | 1409 Rehagen Blvd, Jefferson City, MO 65101-3736 | 2011-07-25 |
| 1275821860 | Sandra Mcdonald | Counselor | 1110 Missouri Blvd, Jefferson City, MO 65109-1722 | 2011-07-15 |
| 1053569004 | Maria C. Stokes | Counselor | 1110 Peyton Dr, Jefferson City, MO 65101-3769 | 2008-09-03 |
| 1881894392 | Donna Marie Adams | Counselor | 1026 Northeast Dr Ste B, Jefferson City, MO 65109-2517 | 2007-07-23 |
| 1356471734 | Elizabeth L Strolberg Page | Counselor | 415 E Mccarty St, Jefferson City, MO 65101 | 2007-03-06 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
Please comment or provide details below to improve the information on DR. WILLIAM LAFAYETTE BLEVINS.
| 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.