RICKIE BLEDSOE (NPI# 1184177222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184177222 |
| Entity Type | Individual |
| Full Name | RICKIE BLEDSOE |
| Practice Address |
2435 College Dr Texarkana TX 75501 |
| Practice Telephone | 9032551241 |
| Practice Fax Number | 9032238407 |
| Mailing Telephone | 9032551241 |
| Mailing Fax Number | 9032238407 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11135 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LCDC | 11135 | 01 |
| Street Address |
2435 COLLEGE DR |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841641800 | Brittany M Robinson | Counselor | 2435 College Dr, Texarkana, TX 75501-2788 | 2016-06-30 |
| 1205497120 | Sandy Janice Burton | Counselor | 2435 College Dr, Texarkana, TX 75501-2788 | 2019-06-21 |
| 1285148585 | Deanna Robin Padgett | Nurse Practitioner | 2435 College Dr, Texarkana, TX 75501-2788 | 2017-11-22 |
| 1003327677 | Corey Robinson | Counselor | 2435 College Dr, Texarkana, TX 75501-2788 | 2017-10-23 |
| 1992214316 | David Hurlburt | Counselor | 2435 College Dr, Texarkana, TX 75501-2788 | 2017-09-28 |
| 1417486267 | Shauna Loe | Counselor | 2435 College Dr, Texarkana, TX 75501-2788 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960425 | Mariam Saibu | Counselor | 5911 Richmond Rd, Texarkana, TX 75503-1233 | 2020-01-03 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1609366350 | Eric Dominic Parks | Counselor | 7000 N State Line Ave, Texarkana, AR 71854-8100 | 2018-05-17 |
| 1548605645 | Randy Ervin Thomason Jr. | Counselor | 3930 Galleria Oaks Dr, Texarkana, TX 75503-4670 | 2013-05-02 |
| 1861671562 | Johnny Lee Counts | Counselor | 2815 Richmond Rd, #122, Texarkana, TX 75503-5100 | 2007-10-30 |
| 1316098569 | Jeanne A Field Miller | Counselor | 4091 Summerhill Sq, Texarkana, TX 75503-2768 | 2007-01-15 |
| 1790745826 | Mitchell Wayne Francis | Counselor | 7000 Highway 71, Texarkana, AR 71854-1388 | 2006-03-24 |
| 1497382311 | Ginger Gail Finigan | Counselor | 7000 N State Line Ave, Texarkana, AR 71854-8100 | 2020-03-23 |
| 1417596107 | Suzanne Elizabeth Orrick | Counselor | 7000 N State Line Ave, Texarkana, AR 71854-8100 | 2019-12-30 |
| 1396382859 | Larry Dewayne Noel | Counselor | 7000 N State Line Ave, Texarkana, AR 71854-8100 | 2019-12-04 |
| Find all providers in TEXARKANA | ||||
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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.