MICHELLE RAE BLAIR (NPI# 1104489111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104489111 |
| Entity Type | Individual |
| Full Name | MICHELLE RAE BLAIR |
| Credential | NP-C |
| Practice Address |
4038 Thomas Nelson Hwy Arrington VA 22922-2302 |
| Mailing Address |
202 Graywinds Ln Nellysford VA 22958-3033 |
| Practice Telephone | 4342634000 |
| Mailing Telephone | 5404474880 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-06-10 |
| NPI Deactivation Date | 05/02/2019 |
| NPI Reactivation Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024177529 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1972989556 | Michelle Blair | Counselor | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2015-08-05 |
| 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 |
4038 THOMAS NELSON HWY |
| City | ARRINGTON |
| State | VA |
| Zip Code | 22922-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595666 | Rebecca B Young | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2005-11-18 |
| 1013566223 | Melissa Bond | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-09-10 |
| 1114574100 | Kelley Marie Mayberry | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-08-23 |
| 1386121531 | Danielle Petrosky Free | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-07-20 |
| 1942795307 | Richard Dixon Sykes | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-06-28 |
| 1538666912 | Kathryn Leslee Phillips | Dietitian, Registered | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-04-11 |
| 1770091787 | Marianne Teresa Russell | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-01-12 |
| 1023565132 | Benjamin Elliott Nissley | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2016-09-07 |
| 1730559329 | Blue Ridge Medical Center | Pharmacy | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2015-09-25 |
| 1134532567 | Heidi Lea Kelly | Registered Nurse | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2014-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679580922 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-08-01 |
| 1144389818 | Julie S Setliff | Pharmacist | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-12-08 |
| 1215915814 | Benjamin Timothy Brown | Family Medicine | 4038 Thomas Nelson Hwy., Blue Ridge Health Center, Inc., Arrington, VA 22922-2302 | 2006-01-04 |
| 1346755162 | April Aldridge | Speech-Language Pathologist | 5198 Thomas Nelson Hwy, Arrington, VA 22922-2637 | 2017-12-04 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013566223 | Melissa Bond | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-09-10 |
| 1023565132 | Benjamin Elliott Nissley | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2016-09-07 |
| 1578541272 | Juliana Frosch | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2006-01-04 |
| 1871571489 | Janet A Wolfe | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2006-01-04 |
| 1194703876 | Lois A Alderfer | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2006-01-04 |
| 1952389645 | Steven R Alderfer | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
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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.