ABBY BLACKER (NPI# 1326586249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326586249 |
| Entity Type | Individual |
| Full Name | ABBY BLACKER |
| Credential | CPNP-PC |
| Practice Address |
10633 Nw 106th Ave Granger IA 50109-9775 |
| Practice Telephone | 5157102161 |
| Mailing Telephone | 5157102161 |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C125605 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10633 NW 106TH AVE |
| City | GRANGER |
| State | IA |
| Zip Code | 50109-9775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080662 | City of Granger | Ambulance | 1906 Main Street, Granger, IA 50109 | 2006-07-07 |
| 1861776114 | Janning Family Chiropractic, LLC | Chiropractor | 2208 Broadway St, Granger, IA 50109-4400 | 2011-10-05 |
| 1770864050 | Christopher Joseph Janning | Chiropractor | 2208 Broadway Street, Granger, IA 50109-4400 | 2011-08-31 |
| 1447688114 | Erickson Insurance | Supports Brokerage | 2206 Broadway St, 235, Granger, IA 50109-7716 | 2013-10-16 |
| 1659651115 | Gina Marie Diaz | Counselor | 10850 Nw 105th Ct, Granger, IA 50109-9630 | 2011-08-27 |
| 1568421550 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2006-03-20 |
| 1851922389 | Opco Granger, Ia, LLC | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2020-02-03 |
| 1912081241 | Pinnacle Health Facilities Xvii Lp | Skilled Nursing Facility | 2001 Kennedy St, Granger, IA 50109-9746 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184418 | Ashley Elizabeth Bontrager | Registered Nurse | 15040 Hunting Ridge Ct, Granger, IN 46530-9690 | 2020-11-07 |
| 1730788365 | Katherine Mavis Greene | Speech-Language Pathologist | 14234 Shoreline Dr, Granger, IN 46530-4849 | 2020-10-24 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1538776604 | Tonya Darlene Ross | Occupational Therapy Assistant | 11312 Anderson Lake Dr, Granger, IN 46530-7293 | 2020-09-23 |
| 1992311328 | Rci (wrs), LLC. | Clinic/Center | 12788 State Road 23, Granger, IN 46530-7893 | 2020-09-21 |
| 1073126504 | Emily Marie Shoupe | Student in an Organized Health Care Education/Training Program | 15342 Monterosa Dr, Granger, IN 46530-9494 | 2020-08-25 |
| 1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
| 1780295956 | Danielle Brown | Physician Assistant | 10380 Adams Rd, Granger, IN 46530-8608 | 2020-08-12 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1588286132 | Amanda Lynn Ponce De Leon | Physical Therapist | 12171 Covered Wagon Ct, Granger, IN 46530-7100 | 2020-05-16 |
| Find all providers in GRANGER | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455017 | Amy Danielle Dobberfuhl | Nurse Practitioner | 6833 Coburn Ln, Johnston, IA 50131-1243 | 2020-10-23 |
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1376951715 | Leslie Arends | Nurse Practitioner | 101 College of Nursing Building, 50 Newton Rd, Iowa City, IA 52242-1121 | 2014-07-29 |
| 1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
| 1063758605 | Blank Childrens Hospital | Nurse Practitioner | 6540 Ne 12th Ave, Pleasant Hill, IA 50327-8828 | 2013-01-01 |
| 1982984183 | Amanda Marie Ostergaard | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2011-08-19 |
| 1831498146 | Julie Louise Ritland | Nurse Practitioner | 424 Kingbard Blvd, Waterloo, IA 50701-3056 | 2011-03-25 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1538313614 | Susan E Rumelhart | Nurse Practitioner | 1243 20th St Sw, Cedar Rapids, IA 52404-1635 | 2008-11-16 |
| 1356595581 | Jill Renae Asprey | Nurse Practitioner | 720 7th Ave Sw, Cedar Rapids, IA 52404-1921 | 2008-11-14 |
| Find all providers with the same taxonomy | ||||
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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.