PETER JOHN BLAIR (NPI# 1811952641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811952641 |
| Entity Type | Individual |
| Full Name | PETER JOHN BLAIR |
| Credential | RN, CNP |
| Practice Address |
1200 6th Ave N Centra Care Clinic Saint Cloud MN 56303-2735 |
| Practice Telephone | 3202525131 |
| Mailing Telephone | 3202525131 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R105679-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R105679-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326430380 | Peter Blair | Counselor | 7455 Arroyo Crossing Pkwy, 220, Las Vegas, NV 89113-4085 | 2015-02-28 |
| Street Address |
1200 6TH AVE N CENTRA CARE CLINIC |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805518 | Paul Charles Peterson | Emergency Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-07-15 |
| 1871127290 | Kayla Girgen | Dietitian, Registered | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2020-02-25 |
| 1023640034 | Faith Kelly Dammann | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2020-02-07 |
| 1538707377 | Alissa Wigen | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-12-11 |
| 1639713290 | Jordan Lajoie | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-11-06 |
| 1528602430 | Hannah Elise Osterndorf | Dietitian, Registered | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-11-04 |
| 1558919100 | Mergitu Megersa Gemeda | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-08-27 |
| 1659927879 | Jennifer Marie Bretscher | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-08-13 |
| 1366094302 | Laura Verley | Registered Nurse | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-07-10 |
| 1063074235 | Briana Gray | Pharmacist | 1200 6th Ave N, Internal Medicine, Saint Cloud, MN 56303-2735 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780051458 | Lauren M. Line | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2015-08-28 |
| 1689089724 | Debra Jean Burch | Nurse Practitioner | 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346434461 | Debra L Lesslie | Nurse Practitioner | 347 North Smith Avenue, 70-505, Children's Specialty Clinic Nicu, St. Paul, MN 55102 | 2007-08-31 |
| 1568412922 | Sharron Thomson | Nurse Practitioner | Lakeview Hospital, 927 Churchill Street West, Stillwater, MN 55082 | 2006-05-10 |
| 1679541056 | Deborah J Barth | Nurse Practitioner | 3668 Pinecrest Ct, Eagan, MN 55123-1000 | 2006-03-10 |
| 1720056518 | Nicole E Riley | Nurse Practitioner | 14223 Arbre Ln N, Hugo, MN 55038-4449 | 2006-03-09 |
| 1003891144 | Tracy Suzanne Cousin | Nurse Practitioner | 1200 6th Avenue N, St Cloud, MN 56303 | 2005-12-13 |
| 1528678133 | Kathy Daniella Lopez Vasquez | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-07 |
| 1558970376 | Corin Mauldin | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-28 |
| 1912525197 | Devon Ratliff-crain | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-14 |
| 1891313862 | Kelli Dawn Guth | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-07 |
| 1225663768 | Amanda Elizabeth Olsen | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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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.