THOMAS BLODGETT (NPI# 1629533872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629533872 |
| Entity Type | Individual |
| Full Name | THOMAS BLODGETT |
| Other Name | TOM BLODGETTT |
| Practice Address |
5454 Hohman Ave Hammond IN 46320-1931 |
| Mailing Address |
1040 Sierra Dr Ste 400 Greenwood IN 46143-7241 |
| Practice Telephone | 2199322300 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71008704A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71008704A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300023860 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619059516 | Thomas P Blodgett | Dermatology | 39 Hidden Valley Dr, Bidwell, OH 45614-9591 | 2006-10-19 |
| 1952406803 | Thomas Blodgett | Pharmacist | 1775 Thompson Rd, Bay Area Hospital - Pharmacy, Coos Bay, OR 97420-2125 | 2006-09-14 |
| Street Address |
5454 HOHMAN AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225491 | Franciscan Health Dyer & Hammond | Home Health | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2005-06-14 |
| 1518587310 | Kristen Brady | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-21 |
| 1932738093 | Oluwayomi Olalekan Omosebi | Physical Therapist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-02 |
| 1760012231 | Jacob Latham | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-01-23 |
| 1861033060 | Erica Lynn Deenihan | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-09-30 |
| 1568015394 | Danielle Rose Balzano | Registered Nurse | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-07-21 |
| 1386104826 | Daniela Lazarevic | Student in an Organized Health Care Education/Training Program | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-03-21 |
| 1073086252 | Scott T Fairhurst | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-01-10 |
| 1053848622 | Eshwar Nagraj Murthy | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2017-05-15 |
| 1598110876 | Jonathon Zinkel | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326673575 | Lori Miknaitis | Nurse Practitioner | 19065 Dr John Lambert Dr, Hammond, LA 70403-0996 | 2020-03-09 |
| 1265844237 | Southeastern Louisiana University | Nurse Practitioner | Slu 10720, Hammond, LA 70402-0001 | 2014-05-27 |
| 1891917134 | Checkups - La LLC | Nurse Practitioner | 2799 West Thomas Street, Hammond, LA 70401-2838 | 2007-05-03 |
| 1992327639 | Haley Lauren Pierce | Nurse Practitioner | 16014 Doctors Blvd, Hammond, LA 70403-1478 | 2020-05-16 |
| 1861033060 | Erica Lynn Deenihan | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-09-30 |
| 1184283814 | Rae Pitcher | Nurse Practitioner | 15813 Paul Vega Md Dr Ste 100, Hammond, LA 70403-1431 | 2019-06-06 |
| 1376001420 | Kayla Elizabeth Glover | Nurse Practitioner | 16014 Doctors Blvd, Hammond, LA 70403-1478 | 2019-03-07 |
| 1508371931 | Megan Perilloux | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2017-12-07 |
| 1770941049 | Jennifer Braggs | Nurse Practitioner | 6750 Calumet Ave, Hammond, IN 46324-1646 | 2016-02-02 |
| 1043626757 | Betty Richelle Smart | Nurse Practitioner | 1900 S Morrison Blvd, Hammond, LA 70403-5742 | 2014-07-02 |
| Find all providers in HAMMOND | ||||
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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.