MARY BLACKWELL (NPI# 1619415254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619415254 |
| Entity Type | Individual |
| Full Name | MARY BLACKWELL |
| Practice Address |
5924 30th Ave W Bradenton FL 34209-6901 |
| Practice Telephone | 4844084272 |
| Mailing Telephone | 4844084272 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013396985 | Mary Blackwell | Dietitian, Registered | 3700 Tucker Dr, Greenville, NC 27858-6000 | 2015-05-26 |
| 1538141965 | Mary T Blackwell | Pediatrics | Dowling 3 South One Boston Medical Center Place, Child Health Foundation of Boston, Boston, MA 02118 | 2005-11-21 |
| 1841201852 | Mary Clayton Blackwell | Counselor | 150 Linden Ave, Lynchburg, VA 24503-2010 | 2006-08-11 |
| Street Address |
5924 30TH AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1396374948 | Melanie B Stebbins | Counselor | 5218 4th Avenue Cir E, Bradenton, FL 34208-5621 | 2020-04-06 |
| 1407485352 | Gale Susanne Kelley | Counselor | 7282 55th Ave E, Bradenton, FL 34203-8002 | 2020-04-03 |
| 1083244040 | Mary Therese Skinner | Counselor | 4112 53rd Ave W Apt 314, Bradenton, FL 34210-3453 | 2020-01-18 |
| 1255899852 | Lisa M Reo | Counselor | 1052 River Wind Circle, Bradenton, FL 34212 | 2019-03-04 |
| 1255851473 | Karma Counseling Services, LLC | Counselor | 1023 Manatee Ave W Ste 301, Bradenton, FL 34205-7828 | 2017-06-20 |
| 1548710429 | Amanda Gerber | Counselor | 351 6th Ave W, Bradenton, FL 34205-8820 | 2016-10-04 |
| 1992251441 | Amy L Mckenna | Counselor | 12389 Lavender Loop, Bradenton, FL 34212-2976 | 2016-08-25 |
| 1255885497 | Lavonna Gregory | Counselor | 9030 58th Dr E Ste 103, Bradenton, FL 34202-6108 | 2016-08-04 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| Find all providers in BRADENTON | ||||
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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.