MRS. TONI BLAIR (NPI# 1952614570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952614570 |
| Entity Type | Individual |
| Full Name | MRS. TONI BLAIR |
| Credential | CPNP-AC |
| Practice Address |
5480 Goodman Rd Olive Branch MS 38654-7902 |
| Practice Telephone | 6628939877 |
| Mailing Telephone | 6628939877 |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2010-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
15037 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R867724 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053616508 | Toni Rochelle Blair | Licensed Practical Nurse | 2537 Germany Rd, Beaver, OH 45613-9418 | 2011-01-13 |
| Street Address |
5480 GOODMAN RD |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393183 | Diana Drumwright Dedmon | Nurse Practitioner | 5480 Goodman Rd, Olive Branch, MS 38654-7902 | 2006-06-10 |
| 1124329016 | Vani Kudlur Chandrappa | Pediatrics | 5480 Goodman Rd, Olive Branch, MS 38654-7902 | 2010-11-08 |
| 1366762155 | Laxmisilpa Gadiparthi Hansen | Obstetrics & Gynecology | 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | 2010-06-03 |
| 1538393905 | Thomas Bass Beasley | Surgery | 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | 2009-05-13 |
| 1932372307 | Lebonheur Urgent Care, LLC | Clinic/Center | 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | 2008-04-08 |
| 1821272501 | Methodist Healthcare Community Care Associates | Clinic/Center | 5480 Goodman Rd, Suite 1, Olive Branch, MS 38654-7902 | 2007-12-18 |
| 1336270156 | Ashley Buescher | Nurse Practitioner | 5480 Goodman Rd, Olive Branch, MS 38654-7902 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142943 | Ashley B Chittenden | Nurse Practitioner | 3480 Avis Ln, Southaven, MS 38672-2010 | 2020-10-23 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1972021608 | Dana Brooke Underwood | Nurse Practitioner | 1300 Access Rd Ste 400, Oxford, MS 38655-5211 | 2017-09-01 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1386020113 | Stefanie Taylor Christy | Nurse Practitioner | 3654b New Hope Rd, Columbus, MS 39702-8521 | 2015-08-04 |
| 1861808974 | Ashley Hickman | Nurse Practitioner | 224 S Church St Ste B, Brookhaven, MS 39601-3232 | 2014-07-09 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1962744482 | Kendra Watts | Nurse Practitioner | 1016 Sixth Ave Ste C, Picayune, MS 39466-3861 | 2013-03-22 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on MRS. TONI BLAIR.
| 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.