DR. NICOLE BLAKESLEY


Address: 3264 Vail Pass Drive, Colorado Springs, CO 80917
Phone: 6263753172

DR. NICOLE BLAKESLEY (NPI# 1659651412) 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) 1659651412
Entity Type Individual
Full Name DR. NICOLE BLAKESLEY
Other Name NICOLE CHASE
Credential PSY.D.
Practice Address 3264 Vail Pass Drive
Colorado Springs
CO 80917
Practice Telephone 6263753172
Mailing Telephone 6263753172
Enumeration Date 2011-08-25
Last Update Date 2012-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSYC.00013352 CO Behavioral Health & Social Service Providers

Office Location

Street Address 3264 VAIL PASS DRIVE
City COLORADO SPRINGS
State CO
Zip Code 80917

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City COLORADO SPRINGS
Zip Code 80917

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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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