LEOPOLDINE BLAISE (NPI# 1588174502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588174502 |
| Entity Type | Individual |
| Full Name | LEOPOLDINE BLAISE |
| Credential | DNP |
| Practice Address |
205 Nw Rd Mize Rd Ste 400 Blue Springs MO 64014 |
| Mailing Address |
5956 N London Ave Kansas City MO 64151-2640 |
| Practice Telephone | 8162289841 |
| Practice Fax Number | 8162288667 |
| Mailing Telephone | 8166169399 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017033175 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2700 Clay Edwards Dr, Kansas City, MO 641163251 | 8166912000 |
| Street Address |
205 NW RD MIZE RD STE 400 |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303109 | David L Voshall | Internal Medicine | 205 Nw Rd Mize Rd, Ste 400, Blue Springs, MO 64014 | 2005-06-01 |
| 1972706547 | Thomas Anthony Seck | Pediatrics | 205 Nw Rd Mize Rd, Suite 304, Blue Springs, MO 64014-2515 | 2007-06-08 |
| 1124190632 | Cockerell & Mcintosh Pediatrics PC | Clinic/Center | 205 Nw Rd Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2006-11-14 |
| 1396830477 | Lin W Clark | Internal Medicine | 205 Nw Rd Mize Rd, Suite 400, Blue Springs, MO 64014 | 2006-10-04 |
| 1447356092 | Dean Lee Mundhenke | Internal Medicine | 205 Nw Rd Mize Rd, Suite 400, Blue Springs, MO 64014 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| Find all providers in zip 64014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1801401740 | Chelse Morgan Beck-vannatter | Nurse Practitioner | 20511 E Trinity Pl, Blue Springs, MO 64015-9501 | 2020-09-08 |
| 1720619323 | Rachel Marie Marks | Nurse Practitioner | 601 Ne Fox Trail Dr, Blue Springs, MO 64014-1785 | 2020-02-01 |
| 1114581287 | Terisa M. Mcginnis | Nurse Practitioner | 4715 W Us 40 Hwy, Blue Springs, MO 64015-0951 | 2019-04-24 |
| 1831657527 | Patrick Gayle Jensen | Nurse Practitioner | 2801 Nw Castle Dr, Blue Springs, MO 64015-2881 | 2019-03-12 |
| 1023551116 | Rachel Brown | Nurse Practitioner | 3514 Sw Jackson St, Blue Springs, MO 64015-7420 | 2016-11-22 |
| 1942759444 | Ann Barela | Nurse Practitioner | 104 Nw State Route 7, Suite B, Blue Springs, MO 64014-2726 | 2016-09-25 |
| 1881053544 | Lisa Martin | Nurse Practitioner | 3201 S 7 Hwy, Blue Springs, MO 64014-5301 | 2016-02-23 |
| 1083004022 | Christina Shelton | Nurse Practitioner | 1151 County Road 197, Blue Springs, MS 38828-9142 | 2015-01-29 |
| 1174959365 | Jennifer L. Utterback | Nurse Practitioner | 20 Nw R.d. Mize Road, Emergency Department, Blue Springs, MO 64014-4411 | 2013-09-19 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
Please comment or provide details below to improve the information on LEOPOLDINE BLAISE.
| 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.