JERAL LEE ANN BLANKENSHIP (NPI# 1811450919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811450919 |
Entity Type | Individual |
Full Name | JERAL LEE ANN BLANKENSHIP |
Practice Address |
77 Wainwright Dr Walla Walla WA 99362-3975 |
Mailing Address |
1120 Valley Vista Ave Walla Walla WA 99362-8714 |
Practice Telephone | 5095255200 |
Mailing Telephone | 5096600068 |
Enumeration Date | 2019-04-08 |
Last Update Date | 2019-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN00146530 | WA | Nursing Service Providers |
Street Address |
77 WAINWRIGHT DR |
City | WALLA WALLA |
State | WA |
Zip Code | 99362-3975 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710971528 | Barbara June Hetrick | Optometrist | 77 Wainwright Dr, Vamc Eye Clinic, 123, Walla Walla, WA 99362-3975 | 2005-09-07 |
1528671351 | Michelle Marie Hammond | Optometrist | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2020-08-31 |
1437776481 | Angela Maria Young | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2020-06-25 |
1689210510 | Lisa L O'dell | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-11-26 |
1174171425 | Kirsten Nicole Borges | Registered Nurse | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-08-29 |
1346800877 | Jennifer Lynn Oetman | Social Worker | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2019-06-17 |
1144711086 | Emily Rose Freeman | Optometrist | 77 Wainwright Dr, Walla Walla, WA 99362 | 2018-05-26 |
1417463209 | Ydien Barrios | Social Worker | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2017-12-16 |
1518310283 | Kerri Norris | Optometrist | 77 Wainwright Dr, Jonathan M Wainwright Memorial Vamc, Walla Walla, WA 99362-3975 | 2016-07-19 |
1578915294 | Emily Bucher | Optometrist | 77 Wainwright Dr, Building 86 (123) Optometry, Walla Walla, WA 99362-3975 | 2016-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
Find all providers in zip 99362 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
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1639799562 | Shelli Ann Strickland | Registered Nurse | 6149 Gleneagle Ave Sw, Port Orchard, WA 98367-9182 | 2020-04-21 |
1346876364 | Helina Pokhrel | Registered Nurse | 14016 A St S # 581-7020, Tacoma, WA 98444-4662 | 2020-03-21 |
1275167413 | Nurse Works LLC. | Registered Nurse | 1421 N Laura Rd, Spokane Valley, WA 99212-2524 | 2020-02-26 |
1225687890 | Ioana Maria Hall | Registered Nurse | 11220 127th Ave Ne, Kirkland, WA 98033-4121 | 2019-09-06 |
1588218788 | Pauline E Martin | Registered Nurse | 2501 Ne 134th St Ste 200, Vancouver, WA 98686-3028 | 2019-07-26 |
1467017525 | Doris Maxine Nale | Registered Nurse | 13401 Dumas Rd Apt A202, Mill Creek, WA 98012-5527 | 2019-05-04 |
1831669878 | Lin Eilmes | Registered Nurse | 312 W Brita Ave, Spokane, WA 99208-6112 | 2018-12-03 |
1154891620 | Valentina Krasteva Rivera | Registered Nurse | 2220 Enchanted Forest Rd, Eastsound, WA 98245-9305 | 2018-11-27 |
1427539949 | Jessica Roberts Calhoun | Registered Nurse | Mcclure Middle School, 1915 1st Ave W, Seattle, WA 98119 | 2018-08-23 |
Find all providers with the same taxonomy |
City | WALLA WALLA |
Zip Code | 99362 |
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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.