DIANA LEE BLACKLOCK (NPI# 1912225822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912225822 |
| Entity Type | Individual |
| Full Name | DIANA LEE BLACKLOCK |
| Credential | LMP |
| Practice Address |
2426 20th St Se Puyallup WA 98374-1475 |
| Practice Telephone | 2532294272 |
| Mailing Telephone | 2532294272 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICENSED MASSAGE THERAPISTS | 60141204 | 01 |
| Street Address |
2426 20TH ST SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-1475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801146899 | Shannon Kelsch | Health Educator | 9307 191st St E, Puyallup, WA 98375-6163 | 2012-09-17 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| 1578889150 | Barb Joann Glassman | Health Educator | 1301 3rd Ave Nw, Puyallup, WA 98371-9413 | 2010-04-08 |
| 1174065221 | Tiffany Gota | Health Educator | 3712 9th St Sw, Puyallup, WA 98373-3564 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307959 | Specialty Athletic Training | Health Educator | 501 Se Ellsworth Rd, Vancouver, WA 98664-5101 | 2020-02-05 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1366083289 | Kim Lehmann | Health Educator | 4622 Ne 56th St, Vancouver, WA 98661-2118 | 2019-10-02 |
| 1326513078 | Christian R Koehler | Health Educator | 32 Elma Mccleary Rd, Elma, WA 98541-9425 | 2018-10-09 |
| 1841784741 | Dorothy F Landeen | Health Educator | 12118 Ne 66th St, Kirkland, WA 98033-8433 | 2018-06-15 |
| 1316446065 | Lauren Paige Luther | Health Educator | 501 N Riverpoint Blvd Ste 245, Spokane, WA 99202-1649 | 2018-02-08 |
| 1225554090 | Karla M Anderson | Health Educator | 1000 N Forest St Ste 201, Bellingham, WA 98225-5530 | 2017-08-14 |
| 1770007817 | Laura Ellen Defreese | Health Educator | 11768 Westar Lane, Suite A, Burlington, WA 98233 | 2017-07-31 |
| 1346763406 | Amy Elisabeth Cooley | Health Educator | 1919 Ne 78th St, Vancouver, WA 98665-9752 | 2017-07-20 |
| 1316481229 | Lisa Calavetta | Health Educator | 811 N 36th St, Seattle, WA 98103-8806 | 2016-12-12 |
| 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.