MICHELE RENEE BLUM (NPI# 1053910877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053910877 |
| Entity Type | Individual |
| Full Name | MICHELE RENEE BLUM |
| Credential | FNP-C |
| Practice Address |
3591 Mckinney St Ste 400a Melissa TX 75454-9571 |
| Practice Telephone | 7294641611 |
| Mailing Telephone | 7294641611 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1017419 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3591 MCKINNEY ST STE 400A |
| City | MELISSA |
| State | TX |
| Zip Code | 75454-9571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668898 | Melissa Tiny Teeth, Pllc | Dentist | 1500 Scott Street, Suite 200, Melissa, TX 75454 | 2020-04-24 |
| 1386279206 | Magnolia House Calls LLC | General Practice | 202 Fisherman Trail, Melissa, TX 75454 | 2020-03-11 |
| 1710540380 | Schuster Dental Group | Dentist | 1500 Scott St, Ste 100, Melissa, TX 75454 | 2019-04-18 |
| 1386117463 | Capital Dental Care | Dentist | 2302 Sam Rayburn Highway, Ste 100, Melissa, TX 75454 | 2019-01-10 |
| 1659800050 | Misty-lynn Nicholson | Specialist/Technologist | 3011 Whispering Pine Blvd, Melissa, TX 75454 | 2017-06-08 |
| 1598145583 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2600 Sam Rayburn Hwy, Melissa, TX 75454 | 2015-06-04 |
| 1235457631 | Jennifer Effler | Registered Nurse | 3591 Mckinney St Ste 100, Melissa, TX 75454 | 2010-05-10 |
| 1497963698 | Anthony Alexis Vallarino | Family Medicine | 3080 Sam Rayburn Highway, Melissa, TX 75454 | 2007-05-19 |
| 1134631542 | Jaime Gamboa | Nurse Practitioner | 3591 Mckinney St Ste 400, Melissa, TX 75454 | 2017-10-26 |
| 1528437316 | Jennifer Kristin Slater | Nurse Practitioner | 3591 Mckinney St, 200, Melissa, TX 75454 | 2015-09-22 |
| Find all providers in zip 75454 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477051167 | Jason Bryan Thornton | Nurse Practitioner | 3591 Mckinney St Ste 200, Melissa, TX 75454-9573 | 2018-01-27 |
| 1699238303 | Erin Christine Smith | Nurse Practitioner | 3591 Mckinney St Ste 400, Melissa, TX 75454-9504 | 2019-04-09 |
| 1316418635 | Sarah Mertz | Nurse Practitioner | 3591 Mckinney St Ste 400, Melissa, TX 75454-9504 | 2018-12-14 |
| 1780169953 | Lauren Fairbanks | Nurse Practitioner | 3591 Mckinney St Ste 400, Melissa, TX 75454-9504 | 2018-10-03 |
| 1861901894 | Courtney Lavey Rulon | Nurse Practitioner | 3591 Mckinney St Ste 400, Melissa, TX 75454-9504 | 2017-09-21 |
| 1154851434 | Toni Nicole Tidwell | Nurse Practitioner | 3591 Mckinney St Ste 400, Melissa, TX 75454-9504 | 2017-06-19 |
| 1982061974 | Meghann Venkatesan | Nurse Practitioner | 3591 Mckinney St, Suite 200, Melissa, TX 75454-9571 | 2016-01-21 |
| 1528437316 | Jennifer Kristin Slater | Nurse Practitioner | 3591 Mckinney St, 200, Melissa, TX 75454 | 2015-09-22 |
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|---|---|---|---|---|
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| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| 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.