BLAIR NICOLE ROSE (NPI# 1497059034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497059034 |
| Entity Type | Individual |
| Full Name | BLAIR NICOLE ROSE |
| Credential | PA-C |
| Practice Address |
1717 Main St 5200 Dallas TX 75201-4612 |
| Mailing Address |
804 Andersonville Ln Wylie TX 75098-5304 |
| Practice Telephone | 2147122444 |
| Mailing Telephone | 9727426091 |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1717 MAIN ST 5200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75201-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989348 | John Randall Lunde | Nurse Practitioner | 1717 Main St, Suite 5200, Dallas, TX 75201-4605 | 2005-08-12 |
| 1093085045 | Texas Em-1 Medical Services Pa | Nurse Practitioner | 1717 Main St, Suite#5200, Dallas, TX 75201-4612 | 2012-01-09 |
| 1871822353 | Jeremy Belschner | Nurse Practitioner | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2009-12-14 |
| 1265664601 | Ac Provider Services of Florida LLC | Anesthesiology | 1717 Main St, 5200, Dallas, TX 75201-4612 | 2009-08-19 |
| 1548494396 | Fox Creek Inpatient Services | Internal Medicine | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2009-05-08 |
| 1952578064 | Brian Kelly Blake | Emergency Medicine | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2008-05-08 |
| 1821284985 | Emcare Physician Providers Inc | Emergency Medicine | 1717 Main St, 5200, Dallas, TX 75201-4612 | 2007-09-21 |
| 1841490034 | Texas Em-i Medical Services, PC | Emergency Medicine | 1717 Main St, 5200, Dallas, TX 75201-4612 | 2007-07-25 |
| 1144421421 | Garry Francis Gagnon | Emergency Medicine | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2007-05-31 |
| 1821299108 | Justin N. Fleishman | Emergency Medicine | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1992366488 | Anmd Health Pllc | Family Medicine | 1910 Pacific Ave Suite 15700, Dallas, TX 75201 | 2019-06-25 |
| 1972083772 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2380 N Field St, Dallas, TX 75201 | 2018-08-21 |
| 1861986986 | Stella O Adebusoye | Registered Nurse | 2121 Main St Ste 100, Dallas, TX 75201 | 2018-06-21 |
| 1215432026 | Shawana Harris | Counselor | 1910 Pacific Ave #7024, Dallas, TX 75201 | 2018-03-26 |
| 1285150821 | Lauren Elisabeth Kelling | Nurse Practitioner | 700 N. Pearl St. Suiten208, Dallas, TX 75201 | 2017-08-15 |
| 1962932319 | Jade On | Dentist | 2225 N Harwood St, Dallas, TX 75201 | 2017-06-19 |
| 1053857268 | Lj Dentistry, Pllc | Dentist | 2100 Ross Ave #960, Dallas, TX 75201 | 2017-01-11 |
| 1770946444 | Robin Margolin | Counselor | 1919 Mckinney Ave # 2063, Dallas, TX 75201 | 2016-03-31 |
| 1750767448 | Hcf Web Services | Respite Care | 2320 Taylor St, 2322, Dallas, TX 75201 | 2015-08-04 |
| Find all providers in zip 75201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
| 1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
| 1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
| 1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
| 1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
| 1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
| 1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
| Find all providers in DALLAS | ||||
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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.