JONELL BLASE (NPI# 1245391192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245391192 |
Entity Type | Individual |
Full Name | JONELL BLASE |
Credential | NP |
Practice Address |
6242 Sw Timber Ridge Dr Corvallis OR 97333-2942 |
Mailing Address |
3355 Riverbend Dr # 500 Springfield OR 97477-8800 |
Practice Telephone | 5419297880 |
Mailing Telephone | 5419297880 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2016-11-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
84052765 | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | OMAP | 276733 | 01 |
OK | WORKMAN'S COMP | ANP 0052 | 01 |
Street Address |
6242 SW TIMBER RIDGE DR |
City | CORVALLIS |
State | OR |
Zip Code | 97333-2942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
Find all providers in zip 97333 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700122124 | Deborah Marchino | Nurse Practitioner | 3640 Nw Samaritan Drive, Suite 270, Corvallis, OR 97330-3769 | 2012-12-13 |
1710277330 | Susan Elizabeth Sligh | Nurse Practitioner | 2001 Nw Monroe Ave, 100, Corvallis, OR 97330-5508 | 2011-04-15 |
1780824672 | Cynthia Lee Bream | Nurse Practitioner | 1873a Nw Kings Blvd, Corvallis, OR 97330-1964 | 2009-03-04 |
1023292570 | Christy M Rummel | Nurse Practitioner | 1760 Sw 3rd St, Corvallis, OR 97333-1725 | 2007-12-19 |
1750585857 | Ilene Sharon Cann | Nurse Practitioner | 2001 Nw Monroe Ave Ste 104, Corvallis, OR 97330-5567 | 2007-06-13 |
1841228145 | Cristino Rodriguez | Nurse Practitioner | 527 Nw 27th Street, Corvallis, OR 97330 | 2006-06-28 |
1598745861 | Paula Marie King | Nurse Practitioner | 3680 Nw Samaritan Drive, Corvallis, OR 97330-3737 | 2006-01-20 |
1427033729 | Susan Carol Keister | Nurse Practitioner | 527 Nw 27th Avenue, Corvallis, OR 97330 | 2005-12-08 |
1023090339 | Sherry Ruth Goeden Vi | Nurse Practitioner | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2005-11-14 |
1346241262 | Renee Edwards | Nurse Practitioner | 656 Nw Mirador Pl, Corvallis, OR 97330-4698 | 2005-08-02 |
Find all providers in CORVALLIS |
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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.