GENAE BLAKELY (NPI# 1275159675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275159675 |
| Entity Type | Individual |
| Full Name | GENAE BLAKELY |
| Practice Address |
12716 Ne 36th St Spencer OK 73084-9167 |
| Mailing Address |
Po Box 30589 Midwest City OK 73140-3589 |
| Practice Telephone | 4057693301 |
| Mailing Telephone | 4057693301 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 29398 | OK | Nursing Service Providers |
| Street Address |
12716 NE 36TH ST |
| City | SPENCER |
| State | OK |
| Zip Code | 73084-9167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820550 | Douglas Lynn Young | Internal Medicine | 12716 Ne 36th St, Spencer, OK 73084-9103 | 2005-12-01 |
| 1639779986 | Betsy A Mathew | Nurse Practitioner | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-10-27 |
| 1508465238 | Danielle Stephania Gonzalez | Social Worker | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-10-23 |
| 1548885718 | Community Health Centers, Inc. | Community/Behavioral Health | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2020-06-12 |
| 1003453580 | Ira Arthur Thomas Jr. | Nurse Practitioner | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-12-04 |
| 1023651932 | Devon Susson Praytor | Pharmacy Technician | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-10-23 |
| 1053954966 | Lashell Currie | Pharmacy Technician | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-10-23 |
| 1538721626 | Natalie E Helpern | Social Worker | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-06-28 |
| 1891251179 | Angelina Anaya-hernandez | Pharmacist | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2019-02-12 |
| 1336622562 | Savannah Kaye Kappelle | Dental Hygienist | 12716 Ne 36th St, Spencer, OK 73084-9167 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1316484751 | Marcus Alexander | Case Manager/Care Coordinator | 8226 Ne 26 St, Spencer, OK 73084 | 2017-01-24 |
| 1538589957 | Marcy Thornton | Counselor | #5 Rock N Horse, Spencer, OK 73084 | 2014-04-24 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629402367 | Robert Benard Smith II | Behavioral Analyst | 8900 Ne 51 St, Spencer, OK 73084 | 2013-08-29 |
| 1508201765 | Marlon T James | Counselor | 3711 Red Bud Dr, Spencer, OK 73084 | 2013-05-01 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1326317074 | Jamie Tyrell Thompson | Behavioral Analyst | 7924 Glory Road, Spencer, OK 73084 | 2011-12-27 |
| 1770860793 | Wendy Jones | Counselor | 8904 N.e 45th St., Spencer, OK 73084 | 2011-11-04 |
| 1114258605 | Florence Yvonne Alexander | Counselor | 12724 Ne 38th, Spencer, OK 73084 | 2010-01-22 |
| Find all providers in zip 73084 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025007 | Joyce Toby | Licensed Practical Nurse | 203 Greenville St, Spencer, MA 01562-2705 | 2020-05-23 |
| 1477962629 | Shawna Westervelt | Licensed Practical Nurse | 202 E Hill Rd, Spencer, NY 14883-9710 | 2014-08-12 |
| 1316375397 | Samantha Jo Oakes | Licensed Practical Nurse | 1892 Halsey Valley Rd, Spencer, NY 14883-9356 | 2013-10-29 |
| 1851630297 | Christine Ann Verescak | Licensed Practical Nurse | 13166 New London Eastern Rd, Spencer, OH 44275 | 2013-02-05 |
| 1548532393 | Glenda N/a Phillips-hickman | Licensed Practical Nurse | 700 Washburn Rd, Spencer, NY 14883-9409 | 2012-02-08 |
| 1093009763 | Jennifer Lynn Owen | Licensed Practical Nurse | 27440 West Rd, Spencer, OH 44275-9408 | 2011-05-31 |
| 1376872515 | Babbie J Hart | Licensed Practical Nurse | 16 Maple Ave, Spencer, NY 14883-9642 | 2009-12-17 |
| 1710116637 | Jennifer Rae Farnsworth | Licensed Practical Nurse | 1598 Halsey Valley Rd, Spencer, NY 14883-9319 | 2009-07-13 |
| 1770780769 | Tessa Eileen Morrison | Licensed Practical Nurse | 27750 West Rd, Spencer, OH 44275-9406 | 2007-07-02 |
| 1629436092 | Teena Renee May | Licensed Practical Nurse | 907 Old Mcminnville St, Spencer, TN 38585-3200 | 2016-02-01 |
| Find all providers in SPENCER | ||||
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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.