JESSICA BLACKFORD (NPI# 1346624319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346624319 |
| Entity Type | Individual |
| Full Name | JESSICA BLACKFORD |
| Other Name | JESSICA VOLTMER |
| Credential | DNP, FNP-BC |
| Practice Address |
403 Stageline Rd Hudson WI 54016-7848 |
| Practice Telephone | 7155316800 |
| Practice Fax Number | 7155316801 |
| Mailing Telephone | 7155316800 |
| Mailing Fax Number | 7155316801 |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R-184602-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
403 STAGELINE RD |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-7848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064227 | Melanie L Berg | Podiatrist | 403 Stageline Rd, Hudson, WI 54016-7848 | 2005-06-27 |
| 1437700242 | Stephanie Marie Reneau | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2019-09-23 |
| 1912562612 | Taylor Ann Mueller | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2019-05-08 |
| 1770051062 | Pamela Stoutenburg | Registered Nurse | 403 Stageline Rd, Hudson, WI 54016-1789 | 2018-11-05 |
| 1326592502 | Laura Beeson | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2016-08-05 |
| 1700262938 | Cassidy Sea Mcglothlen | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-7848 | 2015-08-11 |
| 1932513173 | Sarah Burke | Pediatrics | 403 Stageline Rd, Hudson, WI 54016-1789 | 2014-06-16 |
| 1720404890 | Robyn Cox | Advanced Practice Midwife | 403 Stageline Rd, Hudson, WI 54016-7848 | 2014-03-12 |
| 1467876433 | Ann Marie Crump | Advanced Practice Midwife | 403 Stageline Rd, Hudson, WI 54016-7848 | 2014-02-12 |
| 1801217559 | Gregory Barlow | Physician Assistant | 403 Stageline Rd, Hudson, WI 54016-7848 | 2013-12-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830357 | Nicole Erin Egle | Nurse Practitioner | 7574 Partridge Meadows Dr E, Hudson, OH 44236-1359 | 2020-08-03 |
| 1871127852 | Amy L Wilson | Nurse Practitioner | 130 Musquash Rd, Hudson, NH 03051-5418 | 2020-02-27 |
| 1134622491 | Laura Baigrie | Nurse Practitioner | 13740 Office Park Ct Ste B, Hudson, FL 34667-7145 | 2018-03-13 |
| 1972054849 | Jenny L Bodnar | Nurse Practitioner | 5398 Duffield Dr, Hudson, OH 44236-4159 | 2016-10-17 |
| 1083088330 | William Kras IIi | Nurse Practitioner | 13910 Fivay Rd Ste 5, Hudson, FL 34667-7130 | 2015-11-24 |
| 1023492022 | Christine Elizabeth Ostendorf | Nurse Practitioner | 628 Galahad Rd N, Hudson, WI 54016-1040 | 2015-07-20 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1316375215 | Mary Meghan Folino Hylton | Nurse Practitioner | 5655 Hudson Dr Ste 301, Hudson, OH 44236 | 2013-10-31 |
| 1750575387 | Kyla Vaughn Elderton | Nurse Practitioner | 94 Fox Trace Ln, Hudson, OH 44236-3469 | 2007-08-27 |
| 1861516072 | Lynn Marie Erickson | Nurse Practitioner | 2310 Crestview Dr., Hudson, WI 54016 | 2007-03-16 |
| Find all providers in HUDSON | ||||
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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.