TAMMIE MAE BLAIR (NPI# 1902849938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902849938 |
| Entity Type | Individual |
| Full Name | TAMMIE MAE BLAIR |
| Credential | NP |
| Practice Address |
4660 Kenmore Ave Ste 902 Alexandria VA 22304-1306 |
| Practice Telephone | 7033704300 |
| Mailing Telephone | (703) 370-4300 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
0024168949 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED NURSE - CALIFORNIA | RN 752978 | 01 |
| GA | STATE LICENSE | RN147139 | 01 |
| CA | NURSE PRACTITIONER - CALIFORNIA | NP 19503 | 01 |
| Street Address |
4660 KENMORE AVE STE 902 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960280 | Christine Mcmahon | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2020-04-10 |
| 1699248484 | Susan Rogers | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2019-01-04 |
| 1447785654 | Stacy Stavlund | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2017-04-25 |
| 1013361781 | Brenda Perez | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2016-04-19 |
| 1962899963 | Amanda Paternostro | Obstetrics & Gynecology | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2015-04-17 |
| 1790196152 | Michelle Powers | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2014-05-19 |
| 1558603977 | Shannon Paige Wise | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2013-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922438357 | Marybeth Grannis | Nurse Practitioner | 1501 King St, Alexandria, VA 22314-2716 | 2013-11-21 |
| 1710132972 | The Physician & Midwife Collaborative Practice PC | Nurse Practitioner | 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 2008-12-01 |
| 1093978546 | Gina Karlin Haldeman | Nurse Practitioner | 4660 Kenmore Ave, #902, Alexandria, VA 22304-1313 | 2008-07-04 |
| 1417088386 | Jennifer Machell Sims | Nurse Practitioner | 2 E Glebe Rd, Alexandria Neighborhood Health Services, Inc, Alexandria, VA 22305-2938 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679086656 | Holly Borkert | Nurse Practitioner | 3925 Shannon Rd, Portsmouth, VA 23703-2119 | 2017-11-13 |
| 1235641325 | Katya Simon | Nurse Practitioner | 8303 Arlington Blvd Ste 209, Fairfax, VA 22031-2903 | 2017-10-29 |
| 1205253580 | Bethanie Lynn Nice | Nurse Practitioner | 824 Greenbrier Pkwy Ste 100, Chesapeake, VA 23320 | 2014-03-24 |
| 1073856811 | Mary Nottingham | Nurse Practitioner | 1119 2nd St Sw, Roanoke, VA 24016-4710 | 2013-03-30 |
| 1134465693 | Renee Olexy | Nurse Practitioner | 844 Battlefield Blvd N Ste 100, Chesapeake, VA 23320-4802 | 2013-01-02 |
| 1821327024 | Jennifer Connelly Reilly | Nurse Practitioner | 5875 Bremo Rd Ste 701, Richmond, VA 23226-1928 | 2009-12-17 |
| 1215137369 | Phyllis Adams Mathews | Nurse Practitioner | 724. South Mason St., Harrisonburg, VA 22807 | 2007-07-18 |
| 1801923057 | Joni Teresa White | Nurse Practitioner | 23191 Front St. Accomack County Health Dept., Accomac, VA 23301 | 2007-02-27 |
| 1336285709 | Terry Marie Mcguirk | Nurse Practitioner | 1009 Seville Dr, Chesapeake, VA 23322-8027 | 2007-01-30 |
| 1548364912 | Judith Christian | Nurse Practitioner | 2964 Hydraulic Road, Charlottesville, VA 22901-8902 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.