JO SUSAN OFFUTT-BLACKABY


Address: 1101 6th Ave N, Nashville, TN 37208-2650
Phone: 6159709467

JO SUSAN OFFUTT-BLACKABY (NPI# 1689063760) 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) 1689063760
Entity Type Individual
Full Name JO SUSAN OFFUTT-BLACKABY
Credential MSN, PMHNP
Practice Address 1101 6th Ave N
Nashville
TN 37208-2650
Practice Telephone 6159709467
Mailing Telephone 6159709467
Enumeration Date 2015-01-13
Last Update Date 2015-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health 		19574 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1101 6TH AVE N
City NASHVILLE
State TN
Zip Code 37208-2650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033252820 Marvin Bradley Nunn Psychologist 1101 6th Ave N, Nashville, TN 37208-2650 2007-02-14
1124495882 Centerstone of Tennessee Community/Behavioral Health 1101 6th Ave N, Nashville, TN 37208-2650 2015-08-28
1063837854 Heather Anne Kamper Social Worker 1101 6th Ave N, Nashville, TN 37208-2650 2014-03-03
1811318991 Anya Snyder Nurse Practitioner 1101 6th Ave N, Nashville, TN 37208-2650 2013-12-17
1902237746 John Davis Counselor 1101 6th Ave N, Nashville, TN 37208-2650 2013-12-04
1215361969 Kelly Jo Bombardiere Case Manager/Care Coordinator 1101 6th Ave N, Nashville, TN 37208-2650 2013-08-29
1215375720 Christy Michelle Cleland Community Health Worker 1101 6th Ave N, Nashville, TN 37208-2650 2013-06-06
1225374325 Lance Dyson Community Health Worker 1101 6th Ave N, Nashville, TN 37208-2650 2012-12-17
1366790164 Lindsey Erin Overhalser Community Health Worker 1101 6th Ave N, Nashville, TN 37208-2650 2012-08-27
1831447697 Advantage Behavioral Health Health Maintenance Organization 1101 6th Ave N, Nashville, TN 37208-2650 2012-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199210 Michele M Collins Student in an Organized Health Care Education/Training Program 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 2020-06-19
1730700105 Prince Eleeh Student in an Organized Health Care Education/Training Program Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 2020-04-27
1750900411 James Curtis Roberson IIi Student in an Organized Health Care Education/Training Program 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 2020-04-13
1184252322 Sandip Chaugai Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 2020-04-01
1366070542 Bukola Adeyinka Olagbende Student in an Organized Health Care Education/Training Program 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 2020-04-01
1821651704 Vielka Oglivie Social Worker 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 2019-04-17
1154882702 Ajua Fondong Azingala Student in an Organized Health Care Education/Training Program 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 2019-03-27
1437619749 Dockmias Kassahun Demeke Student in an Organized Health Care Education/Training Program 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 2019-03-22
1225598717 Ekemini Ima Orok Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 2019-03-21
1861952608 Andrea Giselle Lozano Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 2019-03-20
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548724388 Caroline Post Cone Clinical Nurse Specialist 301 Mallory Station Rd Ste 110, Franklin, TN 37067-2823 2019-01-25
1518286194 The Focus Center Counseling & Psychiatric Services Clinical Nurse Specialist 1901a Logue Rd, Mount Juliet, TN 37122-3825 2010-05-22
1720090202 Jean B Blackburn Clinical Nurse Specialist 6419 Laramie Cir, Chattanooga, TN 37421 2006-08-12
1134632243 Maria Inez Valenca Clinical Nurse Specialist 413 Spring St, Chattanooga, TN 37405-3848 2017-11-10
1962944926 Carey Michael Reed Clinical Nurse Specialist 1 Medical Center Blvd, Cookeville, TN 38501-4294 2016-11-08
1497107874 Amy E Greer Clinical Nurse Specialist 238 Summar Dr, Jackson, TN 38301-3906 2016-07-08
1700256484 Goodman Center, LLC Clinical Nurse Specialist 116 Concord Rd, Ste 100, Farragut, TN 37934-2940 2015-10-07
1043597552 Juliet Roche Clinical Nurse Specialist 408 Virginia St, Paris, TN 38242 2011-11-11
1952629198 Lifeworks Behavioral Health Inc Clinical Nurse Specialist 174 Murray Guard Dr, Suite B, Jackson, TN 38305-3742 2010-05-12
1144405986 Loretta W Dandridge Clinical Nurse Specialist 360 E Eh Crump Blvd, Memphis, TN 38126-5310 2007-12-28
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Competitor

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City NASHVILLE
Zip Code 37208

Improve Information

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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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