MICHELLE BLAIR (NPI# 1972989556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972989556 |
| Entity Type | Individual |
| Full Name | MICHELLE BLAIR |
| Credential | LISAC, LMSW |
| Practice Address |
13395 N Marana Main St Marana AZ 85653-7008 |
| Mailing Address |
Po Box 2 Sahuarita AZ 85629-0002 |
| Practice Telephone | 5206824111 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-15140 | AZ | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | LMSW-18034 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300b Main St, Stevensville, MT 598702539 | 4063695994 | |
| 6050 N Corona Rd, Tucson, AZ 857041096 | 5204698700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376927129 | Michelle Lee Blair | Nurse Practitioner | 3114 Peachtree Cir, Davie, FL 33328-6705 | 2015-07-10 |
| 1386059004 | Michelle Blair | Counselor | 3815 Washington St Ste 200, Jamaica Plain, MA 02130-3745 | 2014-06-23 |
| 1326348699 | Michelle Marie Blair | Speech-Language Pathologist | 100 Forest Dr, Albany, NY 12205-2508 | 2010-11-02 |
| 1104489111 | Michelle Rae Blair | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-04-16 |
| 1316347420 | Michelle Catherine Blair | Nurse Practitioner | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2014-08-26 |
| 1982987715 | Michelle M Blair | Physician Assistant | 5500 N Meadows Dr, Grove City, OH 43123-7687 | 2011-09-28 |
| Street Address |
13395 N MARANA MAIN ST |
| City | MARANA |
| State | AZ |
| Zip Code | 85653-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811964836 | Timothy Fitzgerald | Family Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2006-03-08 |
| 1013529684 | Jorydn Rippberger | Dental Hygienist | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2020-08-17 |
| 1891342424 | John Ryan Sparks | Registered Nurse | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-08-19 |
| 1336609759 | Sarah Anne Netherton | Nurse Practitioner | 13395 N Marana Main St, Marana, AZ 85653 | 2019-03-21 |
| 1497213904 | Jessica Perkins | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-03-05 |
| 1932672227 | Athletico Ltd | Physical Therapist | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-01-09 |
| 1831670181 | Tatiana G Nieuwenhuys | Nurse Practitioner | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-08-24 |
| 1134618242 | Margarita N Elias | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-05-03 |
| 1922546282 | Brian Russell Menghini | Registered Nurse | 13395 N Marana Main St, Bldg B, Marana, AZ 85653-7008 | 2017-02-07 |
| 1801341268 | Nasreen Shaikh | Internal Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2016-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720430473 | Shawn Kinney | Dentist | 13808 N. Sandario Road, Marana, AZ 85653 | 2016-07-06 |
| 1134462625 | Brittany M Summerkamp | Registered Nurse | 11279 W Grier Rd Ste100, Marana, AZ 85653 | 2013-04-03 |
| 1972881555 | Nicole Michelle Trombetta | Dentist | 13808 N. Sandario Rd, Marana, AZ 85653 | 2011-07-29 |
| 1699075689 | Jessica Zapf | Psychologist | 12279 W. Grier Rd, Marana, AZ 85653 | 2010-10-25 |
| 1255643359 | Carson B Wagstaff | Dentist | 13435 N Lon Adams Rd, Marana, AZ 85653 | 2010-07-06 |
| 1750546271 | Robert A Ellers | Psychologist | 12279 W. Grier Rd., Marana, AZ 85653 | 2008-07-24 |
| 1972766277 | Michael Carlton Fair | Dentist | 13455 N Lon Adams Rd, Marana, AZ 85653 | 2008-07-07 |
| 1194924969 | Bradner J Lawrence | Dentist | 12610 West Silverbell Rd, Marana, AZ 85653 | 2007-07-12 |
| 1629111687 | Heather Raney | Speech-Language Pathologist | 37571 S Herron Rd, Marana, AZ 85653 | 2007-02-15 |
| 1366580862 | Robert Otis Branch | Speech-Language Pathologist | 11279 W. Grier Rd., Musd Special Education, Marana, AZ 85653 | 2007-02-05 |
| Find all providers in zip 85653 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568455186 | Carol Margaret Schubeck | Counselor | 12625 N Gentle Rain Dr, Marana, AZ 85658-4394 | 2005-08-30 |
| 1255586236 | Angela Daniels-valenzuela | Counselor | 13549 N Sanders Rd, Marana, AZ 85653-9505 | 2008-11-18 |
| 1831290444 | Timothy Moore | Counselor | 13549 N Sanders Rd, Marana, AZ 85653 | 2006-09-26 |
| 1063519791 | Pamela Moorehead | Counselor | 13549 N Sanders Rd, Marana, AZ 85653 | 2006-09-17 |
| 1447263405 | Marana Health Center, Inc | Counselor | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534946 | Jodie Lynn Gonzalez | Counselor | 20430 W Carla Vista, Buckeye, AZ 85326-4698 | 2020-10-06 |
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1316559644 | Pamela Mcrae | Counselor | 17611 W Pershing St, Surprise, AZ 85388-5024 | 2020-08-18 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHELLE 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.