JESSICA BLACKWILL (NPI# 1114584802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114584802 |
| Entity Type | Individual |
| Full Name | JESSICA BLACKWILL |
| Credential | APRN |
| Practice Address |
760 W D Ave Kingman KS 67068-1222 |
| Practice Telephone | 6205323147 |
| Mailing Telephone | 6205320295 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 13-131277-101 | KS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-78792-101 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
760 W D AVE |
| City | KINGMAN |
| State | KS |
| Zip Code | 67068-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225030703 | Shiela Kough | Social Worker | 760 W D Ave, Ste 1, Kingman, KS 67068-1266 | 2005-08-15 |
| 1376901033 | Elizabeth Cramer | Registered Nurse | 760 W D Ave, Kingman, KS 67068 | 2016-02-09 |
| 1992171821 | Robert Pierce | Counselor | 760 W D Ave, Ste 1, Kingman, KS 67068-1222 | 2015-08-14 |
| 1508253501 | Ninnescah Valley Health Systems Inc | Clinic/Center | 760 W D Ave, Kingman, KS 67068-1222 | 2015-04-17 |
| 1164822953 | Carol L Esau | Marriage & Family Therapist | 760 W D Ave, Ste 1, Kingman, KS 67068-1222 | 2014-08-28 |
| 1861623605 | Megan Ann Osner | Social Worker | 760 W D Ave, #1, Kingman, KS 67068-1266 | 2009-07-28 |
| 1902034614 | Robert Leroy Ullom | Family Medicine | 760 W D Ave, Kingman, KS 67068-1222 | 2009-07-01 |
| 1497852370 | Sean M. Wagner | Psychologist | 760 W D Ave, Kingman, KS 67068-1266 | 2006-09-20 |
| 1952323842 | Katherine Jean Cates Panakos | Family Medicine | 760 W D Ave, Kingman, KS 67068-1222 | 2006-07-23 |
| 1174550321 | Cherie Louise Morris | Family Medicine | 760 W D Ave, Kingman, KS 67068-1222 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701788 | Meredith Voran | Pharmacist | 211 N. Main, Kingman, KS 67068 | 2017-06-29 |
| 1770785362 | Kingman County Family Medicine,llc | Family Medicine | 132 West A Street, Kingman, KS 67068 | 2007-06-05 |
| 1952400558 | Rudolph Charles Sasina | Chiropractor | 108 N. Main St., Kingman, KS 67068 | 2006-09-21 |
| 1124083308 | Line Medical Inc | Radiology | 750 Avenue D West, Kingman, KS 67068 | 2006-04-19 |
| 1699746651 | Marsha Stineman Crna Ms Pa | Nurse Anesthetist, Certified Registered | 750 West D Ave, Kingman, KS 67068 | 2006-01-30 |
| 1538147236 | Richard E Davis | Dentist | 126 West Ave B, Kingman, KS 67068 | 2006-01-04 |
| 1609371269 | Amber Girrens | Dietitian, Registered | 750 W D Ave, Kingman, KS 67068 | 2018-03-27 |
| 1841418167 | Alliance Imaging Inc | Clinic/Center | 750 W D Ave, Kingman, KS 67068 | 2007-04-23 |
| 1821127044 | Ninnescah Valley Health Systems | Home Health | 750 West D Ave, Kingman, KS 67068 | 2007-03-05 |
| 1477650703 | Krishnakumar M Kotecha | Radiology | 750 W D Ave, Kingman, KS 67068 | 2006-09-20 |
| Find all providers in zip 67068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
| 1912548132 | Melissa Lee Cropley | Nurse Practitioner | 1380 Ellerman Dr, Kingman, AZ 86401-5489 | 2019-09-30 |
| 1588130835 | Karrie Ann Cook | Nurse Practitioner | 2331 Hualapai Mountain Rd Ste C, Kingman, AZ 86401-6207 | 2018-10-14 |
| 1740755388 | Kristin K Whitehead | Nurse Practitioner | 2043 Hope Ave, Kingman, AZ 86401-4124 | 2018-10-10 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1003895160 | Jacey Laine Mitchell | Nurse Practitioner | 1608 Stockton Hill Road #101, Kingman, AZ 86401-4142 | 2006-01-16 |
| 1891772083 | Cheryl Lynn Webb | Nurse Practitioner | 1871 Gates Ave, Kingman, AZ 86401-4017 | 2005-12-28 |
| 1275527764 | Kathleen Suzanne Florea | Nurse Practitioner | 1510 Stockton Hill Rd, Kingman, AZ 86401-5173 | 2005-09-12 |
| 1346854676 | Musick's Medical, Pllc | Nurse Practitioner | 1111 Riata Valley Rd, Kingman, AZ 86409-3678 | 2020-09-03 |
| 1033729454 | Michelle Fletcher | Nurse Practitioner | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 | 2020-08-01 |
| Find all providers in KINGMAN | ||||
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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.