KRISTINE NELLERMOE BLANKENDAAL (NPI# 1457848111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457848111 |
| Entity Type | Individual |
| Full Name | KRISTINE NELLERMOE BLANKENDAAL |
| Practice Address |
3500 N A St Ste 2400 Midland TX 79705-3610 |
| Practice Telephone | 4325505683 |
| Mailing Telephone | 4325505683 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
31328 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3500 N A ST STE 2400 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79705-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164926689 | Sarah Meinzer | Social Worker | 3500 N A St Ste 2400, Midland, TX 79705-3610 | 2018-03-20 |
| 1578179800 | Anna Marie Van Fleet | Counselor | 3500 N A St Ste 2400, Midland, TX 79705-3610 | 2020-09-22 |
| 1851887897 | Nora Elizabeth Taylor | Counselor | 3500 N A St Ste 2400, Midland, TX 79705-3610 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
| 1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
| 1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
| Find all providers in zip 79705 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396483 | Amber Celeste Ruiz | Counselor | 8613 W County Road 60, Midland, TX 79707-1357 | 2020-01-29 |
| 1598236960 | Delma Lemos | Counselor | 1301 Latta St Apt 1021, Midland, TX 79701-7581 | 2018-12-11 |
| 1396245478 | Michele Dorothy Savage | Counselor | 6401 Patriot Pkwy, Midland, TX 79706-2973 | 2018-02-15 |
| 1992231740 | Ashlea White | Counselor | 1617 Monterrey Dr, Midland, TX 79703-5045 | 2017-05-11 |
| 1093158867 | Lee Conner Culver | Counselor | 2405 Auburn Pl, Midland, TX 79705-4906 | 2013-04-11 |
| 1922121458 | Tony Moreno Marquez | Counselor | 502 N Carver St, Midland, TX 79701-3634 | 2007-04-09 |
| 1184765208 | Ten Sixteen Recovery Network | Counselor | 220 W Main St Ste 202, Midland, MI 48640-5184 | 2007-02-09 |
| 1841343381 | New Horizons Csb Alchemy | Counselor | 9067 Veterans Pkwy, Midland, GA 31820-3411 | 2007-01-19 |
| 1447324520 | Edwin Donald Poage | Counselor | 3000 N Garfield, Suite 230 Heritage Counseling, Midland, TX 79705 | 2006-11-20 |
| 1942288485 | Steven Fick | Counselor | 1897 S Patterson Rd, Midland, MI 48640-8589 | 2006-01-05 |
| Find all providers in MIDLAND | ||||
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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.