DR. BARBARA ANN BLANKENSHIP (NPI# 1356305262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356305262 |
| Entity Type | Individual |
| Full Name | DR. BARBARA ANN BLANKENSHIP |
| Credential | M.D. |
| Practice Address |
55 W Tietan St Walla Walla WA 99362-4445 |
| Mailing Address |
55 W Tietan St Walla Walla WA 99362-4498 |
| Practice Telephone | 5095253720 |
| Practice Fax Number | 5095253720 |
| Mailing Telephone | 5095253720 |
| Mailing Fax Number | 5095221593 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
12301 | ID | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00037722 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1008358 | 05 | |
| WA | 8256976 | 05 | |
| WA | LNI PROVIDER ID | 324986 | 01 |
| WA | LNI PROVIDER ID | 324984 | 01 |
| ID | 1356305262 | 05 | |
| WA | L&I | 171827 | 01 |
| WA | LNI PROVIDER ID | 324988 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19020 33rd Ave W, Suite 210, Lynnwood, WA 980364746 | 4255631500 | 4255631374 |
| 55 W Tietan St, Walla Walla, WA 993624445 | 5095253720 | 5095253720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566845 | Barbara Blankenship | Technician | 8 Darling Ln, Kenova, WV 25530-9514 | 2020-07-31 |
| Street Address |
55 W TIETAN ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193747 | Karen Henderson | Pediatrics | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2005-06-08 |
| 1639776370 | Amanda Jo Stepper | Advanced Practice Midwife | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2020-10-06 |
| 1891346649 | David Andrew Forsyth | Registered Nurse | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2019-09-24 |
| 1104306695 | Gunnar Leighton James Sjoren | Physical Therapist | 55 W Tietan St, Walla Walla, WA 99362-4498 | 2018-08-15 |
| 1295235281 | Megan Renee Freismidl | Physician Assistant | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2018-02-15 |
| 1508388992 | Rosemary Welser | Social Worker | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2017-07-07 |
| 1093190886 | Diana Fitzgerald | Audiologist | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-07-22 |
| 1962885210 | Ronald Q. Ferranco | Nurse Practitioner | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-07-06 |
| 1083096440 | Rebekah Dickman | Pediatrics | 55 W Tietan St, Walla Walla, WA 99362 | 2015-06-22 |
| 1851787709 | Brent E Winterbottom | Physical Therapist | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306097126 | Providence Health & Services - Washington | Radiology | 401 W Poplar Street, Pmg Se Wa Imaging, Walla Walla, WA 99362-2846 | 2008-10-10 |
| 1336235332 | Korth Bingham | Radiology | 998 Reser Rd, Walla Walla, WA 99362-9070 | 2006-10-05 |
| 1457305179 | John Timothy Blackwelder | Radiology | 1240 Lancer Dr, Walla Walla, WA 99362-9275 | 2006-05-19 |
| 1093772808 | Allan F Avbel | Radiology | 306 Craig St, Walla Walla, WA 99362-3302 | 2006-04-26 |
| 1366435950 | Robert E Morris | Radiology | 3539 Mill Creek Rd, Walla Walla, WA 99362-8429 | 2005-08-30 |
| 1588944847 | Seth Brian Gillham | Radiology | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2011-08-18 |
| 1194955443 | Grapevine Radiology Associates | Radiology | 1240 Lancer Dr, Walla Walla, WA 99362-9275 | 2009-07-21 |
| 1700064862 | David E Holznagel | Radiology | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2008-01-31 |
| 1609063197 | Brian W Rich | Radiology | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2007-09-27 |
| 1699801720 | Patrick Edward Davis | Radiology | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2007-02-25 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.