MR. FREDERICK H BLODGETT (NPI# 1306264296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306264296 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK H BLODGETT |
| Credential | FNP-BC |
| Practice Address |
7 Municpal Way Edgewood NM 87015-7086 |
| Mailing Address |
2001 N. Centro Familiar Sw Albuquerque NM 87105-4592 |
| Practice Telephone | 5052813406 |
| Mailing Telephone | 5058737462 |
| Mailing Fax Number | 5052415188 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-02500 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 903 C 5th Street, Estancia, NM 87016 | 5053842777 |
| Street Address |
7 MUNICPAL WAY |
| City | EDGEWOOD |
| State | NM |
| Zip Code | 87015-7086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772490 | Laura Hunsucker | Physical Therapist | 1090 Mountain Valley Road, Edgewood, NM 87015 | 2018-05-30 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1376895250 | Bianca Genco-morrison | Social Worker | 17 Venus Rd. West, Edgewood, NM 87015 | 2012-10-03 |
| 1447541909 | Rona H Vanwilligen | Physical Therapist | 1851 Highway 333, 2-b, Edgewood, NM 87015 | 2011-05-02 |
| 1679717789 | Alan Mannheimer | Pediatrics | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2009-04-21 |
| 1003085705 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 66 State Road #344, Edgewood, NM 87015 | 2008-02-27 |
| 1821270828 | Fowler Enterprises, Inc. | Physical Therapist | 1851-2b Old Highway 66, Edgewood, NM 87015 | 2007-11-30 |
| 1366630121 | Jeana Spindle | Speech-Language Pathologist | 27 Camino Estribor, Edgewood, NM 87015 | 2007-10-05 |
| 1679794457 | Sharon Louise Meyer | Social Worker | 14 El Prado, Edgewood, NM 87015 | 2007-05-01 |
| 1912035478 | Cecilia Gonzales Morris | Occupational Therapist | 204 Dinkle Road, Edgewood, NM 87015 | 2007-02-28 |
| Find all providers in zip 87015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333219 | Kiersten Proctor | Nurse Practitioner | 20 Medical Village Dr Ste 102, Edgewood, KY 41017-3490 | 2020-10-12 |
| 1598381048 | Temitayo Bosede Olaniyi | Nurse Practitioner | 2203 Philadelphia Rd, Edgewood, MD 21040-1109 | 2020-06-21 |
| 1194154823 | Vivienne Prinz | Nurse Practitioner | 104 Quail Trl, Unit B, Edgewood, NM 87015-7185 | 2013-11-04 |
| 1932277514 | Beth B Vanairsdale | Nurse Practitioner | 521 Gerhard Dr, Edgewood, KY 41017-3284 | 2006-12-01 |
| 1811969165 | Shannon E Phillips Jr. | Nurse Practitioner | 116 N. Houston St., Edgewood, TX 75117 | 2006-02-02 |
| 1831198126 | Laura M Greene | Nurse Practitioner | 483 S Loop Rd, Edgewood, KY 41017-5446 | 2005-07-19 |
| 1386251957 | Cierra Dorado | Nurse Practitioner | 104 Quail Trl, Edgewood, NM 87015-7185 | 2020-09-28 |
| 1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
| 1205459369 | Thu Thanh Nguyen | Nurse Practitioner | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2020-05-24 |
| 1295385870 | Joan Kariuki | Nurse Practitioner | 1952 Pulaski Hwy, Edgewood, MD 21040-1658 | 2019-09-16 |
| Find all providers in EDGEWOOD | ||||
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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.