LILA JO BLAKEMAN (NPI# 1386891562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386891562 |
| Entity Type | Individual |
| Full Name | LILA JO BLAKEMAN |
| Credential | NP-C |
| Practice Address |
719 Washington Blvd Newcastle WY 82701-2987 |
| Practice Telephone | 3077462182 |
| Practice Fax Number | 8553085525 |
| Mailing Telephone | 3077462182 |
| Mailing Fax Number | 8553085525 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
33631.46339 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
719 WASHINGTON BLVD |
| City | NEWCASTLE |
| State | WY |
| Zip Code | 82701-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821507 | Hometown Medical Clinic P.C. | Clinic/Center | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2019-06-21 |
| 1144726670 | Martha Jo Wilson | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2018-04-03 |
| 1316354590 | Ashley Tupper | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2014-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164812475 | Weston County Pharmacy | Pharmacist | 727a Washington Blvd, Newcastle, WY 82701 | 2015-01-26 |
| 1326385394 | Candice Marie Watt | Counselor | 420 Deanne Avenue, Newcastle, WY 82701 | 2013-01-11 |
| 1619288503 | Zelda M Anderson | Case Manager/Care Coordinator | 466 Oil Creek Road, Newcastle, WY 82701 | 2010-06-25 |
| 1265769772 | Sharon Adean Materi | Case Manager/Care Coordinator | 23038 U.S. Highway 85, Newcastle, WY 82701 | 2009-11-05 |
| 1740424332 | Monte William Straley | Pharmacist | 727 A Washington Blvd, Newcastle, WY 82701 | 2009-04-27 |
| 1669539235 | Weston County Hospital District | Case Management | 725 Washington Blvd, Newcastle, WY 82701 | 2007-01-03 |
| 1154402972 | Weston County Hospital District | Emergency Medicine | 1124 Washington Boulevard, Newcastle, WY 82701 | 2006-10-18 |
| 1841381514 | Newcastle Ambulance Service | Ambulance | 7 W Wenworth, Newcastle, WY 82701 | 2006-09-27 |
| 1750362588 | Michael Lee Carpenter | Physician Assistant | 1121 Washington Ave, Newcastle, WY 82701 | 2005-11-09 |
| 1770887184 | Abi Jo Dysart | Chiropractor | 128 W Main St, Ste G, Newcastle, WY 82701 | 2010-12-28 |
| Find all providers in zip 82701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346796604 | Healthcare Stat of Newcastle LLC | Nurse Practitioner | 2120 N Main St Suite B, Newcastle, OK 73065 | 2016-08-28 |
| 1780030981 | Kevin Zellner | Nurse Practitioner | 707 Ne 21st St, Newcastle, OK 73065-6179 | 2016-05-06 |
| 1497928840 | Jeramiah Louis Walker | Nurse Practitioner | 300 Nw 32nd St, Newcastle, OK 73065-6300 | 2008-04-07 |
| 1982244109 | Jessica Whitney | Nurse Practitioner | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2020-01-15 |
| 1417425141 | Allison Paige Veidenheimer | Nurse Practitioner | 7203 129th Ave Se, Newcastle, WA 98056-1412 | 2018-11-12 |
| 1144726670 | Martha Jo Wilson | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2018-04-03 |
| 1740732544 | Samir Patel | Nurse Practitioner | 300 Nw 32nd St, Newcastle, OK 73065-6300 | 2016-10-27 |
| 1770937260 | Tammy Ann Willingham Loomis | Nurse Practitioner | 300 Nw 32nd St, Newcastle, OK 73065-6300 | 2016-04-20 |
| 1316354590 | Ashley Tupper | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2014-07-19 |
| 1053732784 | Jeramiah Walker Aprn Cnp Pllc | Nurse Practitioner | 300 Nw 32nd St, Newcastle, OK 73065-6300 | 2013-12-24 |
| Find all providers in NEWCASTLE | ||||
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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.