REBECCA M BLADES


Address: 1722 Shaffer St, Kalamazoo, MI 49048-1633
Phone: 2693431555

REBECCA M BLADES (NPI# 1588916316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588916316
Entity Type Individual
Full Name REBECCA M BLADES
Credential NP
Practice Address 1722 Shaffer St
Kalamazoo
MI 49048-1633
Mailing Address 5943 Stadium Dr
Ste 1
Kalamazoo
MI 49009-3016
Practice Telephone 2693431555
Enumeration Date 2012-10-03
Last Update Date 2012-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704132533 MI Physician Assistants & Advanced Practice Nursing Providers
N 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
2012012206 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1722 SHAFFER ST
City KALAMAZOO
State MI
Zip Code 49048-1633

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194700104 Anthony King Internal Medicine 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 2005-12-13
1720355910 Spectrum Health Primary Care Partners Pediatrics 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 2011-11-16
1275840969 Gerard Joseph Gole Physician Assistant 1722 Shaffer St, Ste #1, Kalamazoo, MI 49048-1633 2010-09-02
1366769747 Jessica Delois Williams Internal Medicine 1722 Shaffer St, Kalamazoo, MI 49048-1633 2010-04-26
1215167838 Deepthi Rao Internal Medicine 1722 Shaffer St, Kalamazoo, MI 49048-1633 2009-07-16
1831334762 Sandra Lynn Pratt Nurse Practitioner 1722 Shaffer St, Heart Failure Clinic At Borgess, Suite 3, Kalamazoo, MI 49048-1633 2008-12-05
1295995876 Jamie B Simpson Psychologist 1722 Shaffer St, Kalamazoo, MI 49048-1633 2008-06-17
1831398379 Paulette Levy Thompson Social Worker 1722 Shaffer St, Kalamazoo, MI 49048-1633 2007-07-14
1134322308 Mauli Ashish Verma Psychiatry & Neurology 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 2007-06-06
1467655621 Iqbal Hussain Psychiatry & Neurology 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 2007-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457913725 Erika Lynn Sullenberger Nurse Practitioner 601 John St Ste M-273, Kalamazoo, MI 49007-5360 2019-07-08
1104318369 Marathon Health LLC Nurse Practitioner 3520 Covington Rd, Kalamazoo, MI 49001 2018-06-04
1619493186 Sarah Zuspann Nurse Practitioner 601 John Street, Suite 100, Kalamazoo, MI 49007 2017-08-16
1750810495 Charmaine Kwei Nurse Practitioner 3601 S 9th St Rm 6, Kalamazoo, MI 49009-9538 2017-06-07
1558646976 Kimberly Ann Applebey Nurse Practitioner 601 John St Ste M-318, Kalamazoo, MI 49007 2011-10-17
1154639748 Deborah R Lee Nurse Practitioner 1521 Gull Rd Ste 130, Kalamazoo, MI 49048-1640 2010-09-17
1346495355 Lisa C Bury Nurse Practitioner 535 S Burdick St Ste 160, Kalamazoo, MI 49007-6113 2008-11-19
1073620720 Susan Nelson Nurse Practitioner 1701 Gull Rd, Kalamazoo, MI 49048-1609 2006-08-25
1295757623 Catherine Mae Williams Nurse Practitioner 348 N Burdick St, Kalamazoo, MI 49007-3830 2006-07-24
1972532463 Pamela S Miller Nurse Practitioner 353 South Burdick, Suite 256, Kalamazoo, MI 49007-5341 2006-06-30
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49048

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Dataset Information

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.

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