MS. JESSICA A. BLACKWELL (NPI# 1902859895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902859895 |
| Entity Type | Individual |
| Full Name | MS. JESSICA A. BLACKWELL |
| Other Name | MS. JESSICA A. TAYLOR |
| Credential | ARNP |
| Practice Address |
3419 E Elena Ln Chattaroy WA 99003-5121 |
| Practice Telephone | 5097101875 |
| Practice Fax Number | 5099023544 |
| Mailing Telephone | 5097101875 |
| Mailing Fax Number | 5099023544 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP30005441 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9645755 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759329 | Jessica Blackwell | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-02-06 |
| 1215304514 | Jessica Rae Blackwell | Kinesiotherapist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2015-08-21 |
| Street Address |
3419 E ELENA LN |
| City | CHATTAROY |
| State | WA |
| Zip Code | 99003-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087367 | Village Health Telehealth Pllc | Clinic/Center | 3419 E Elena Ln, Chattaroy, WA 99003-5121 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700200011 | Stonewall Residential Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 28921 N. River Estates, Chattaroy, WA 99003 | 2014-02-06 |
| 1578061180 | Amy Anne Surnock | Nurse Practitioner | 1450 San Pablo Street, Suite 5000, Los Angeles, CA 99003 | 2018-01-29 |
| 1164772018 | Kristi Alana Conley | Community Health Worker | 13011 E Deer Creek Rd, Chattaroy, WA 99003-7001 | 2012-09-18 |
| 1316922792 | Victor S Stime | Dentist | 34705 N Newport Hwy, Riverside Dental Clinic, Chattaroy, WA 99003-7711 | 2005-12-08 |
| 1225087539 | David A Bennett | Pediatrics | 34705 N Newport Hwy, Chattaroy, WA 99003-7711 | 2006-05-06 |
| 1598713463 | David A Bennett Md | Pediatrics | 34705 N Newport Hwy, Chattaroy, WA 99003-7711 | 2006-05-04 |
| 1912976838 | Nathan P Stime | Family Medicine | 34705 N Newport Hwy, Suite A, Chattaroy, WA 99003-7711 | 2006-03-14 |
| 1376512293 | Nathan P Stime Md Riverside Medical-dental Clinic | Family Medicine | 34705 N Newport Hwy, Suite A, Chattaroy, WA 99003-7711 | 2006-03-14 |
| 1821472424 | Suzanna Toews | Social Worker | 35516 N Dunn Rd, Chattaroy, WA 99003-7726 | 2015-07-13 |
| 1982069290 | Landon Jay Rencher, D.d.s., P.l.l.c. | Dentist | 34705 N Newport Hwy Ste B, Chattaroy, WA 99003-7811 | 2015-12-31 |
| Find all providers in zip 99003 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802675 | Michelle Ann Rorie | Nurse Practitioner | 1100 Villanova St Ne, Olympia, WA 98516-5454 | 2020-08-22 |
| 1174132294 | Heather Catherine Pounds | Nurse Practitioner | 4222 Robin Rd W, University Place, WA 98466-1536 | 2020-07-24 |
| 1801410675 | Mi Thi Trieu Tran | Nurse Practitioner | 24611 116th Ave Se, Kent, WA 98030-4939 | 2020-06-08 |
| 1609409085 | Kris Dee Chatman | Nurse Practitioner | 1628 S Mildred St Ste 105, Tacoma, WA 98465-1628 | 2020-02-13 |
| 1912547365 | Thomas Lee Etherton | Nurse Practitioner | 4425 Cole Ct Se, Olympia, WA 98501-4474 | 2020-01-14 |
| 1306489760 | Nikolaus V Voswinkel | Nurse Practitioner | 1420 Terry Ave Unit 202, Seattle, WA 98101-1981 | 2019-10-17 |
| 1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
| 1306487772 | Harmony Kroll | Nurse Practitioner | 23475 225th Way Se, Ste 201, Maple Valley, WA 98038-5294 | 2019-10-07 |
| 1932751658 | Lesly Marie Dosono Barcena | Nurse Practitioner | 6700 Roosevelt Way Ne Apt A211, Seattle, WA 98115-6642 | 2019-07-12 |
| 1912568205 | Andrea Lyn Fellman | Nurse Practitioner | Ideal Option Clinic 328 South Stillaguamish Ave, Arlington, WA 98223-1660 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
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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.