ALESHA MICHELE BLACKETER


Address: 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972
Phone: 9285560060

ALESHA MICHELE BLACKETER (NPI# 1376029942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376029942
Entity Type Individual
Full Name ALESHA MICHELE BLACKETER
Credential FNP
Practice Address 3150 N Winding Brook Rd
Flagstaff
AZ 86001-0972
Mailing Address Po Box 29675
Dept 2025
Phoenix
AZ 85038
Practice Telephone 9285560060
Mailing Telephone 9288143332
Mailing Fax Number 4809874417
Enumeration Date 2018-07-17
Last Update Date 2018-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP10186 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3150 N WINDING BROOK RD
City FLAGSTAFF
State AZ
Zip Code 86001-0972

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679515449 Northern Arizona Senior Living Community, L.L.C. Assisted Living Facility 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2006-06-13
1811538507 Jody Brooke Herron Physician Assistant 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2019-10-03
1700370566 Shelby Austin Ragghanti Technician, Health Information 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2018-06-15
1730677550 Jordyn Rae Weidle Occupational Therapist 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2018-04-26
1891298394 Esther E Kim Physical Therapist 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2018-03-12
1720439300 Jessica Lynn Cool Physical Therapy Assistant 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2016-06-24
1861869984 Lisa Tenbarge Physical Therapist 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2015-08-24
1609257294 Emily Anderson Speech-Language Pathologist 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2015-06-09
1295112902 Eileen Scott Occupational Therapist 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2015-05-01
1457745259 Kayla Anne Kruse Physical Therapy Assistant 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 2015-03-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658756 Marlenne Adair Escobar-mendoza Specialist/Technologist 1705 South San Francisco Street, Flagstaff, AZ 86001 2020-10-27
1962033712 Laura-lee Prescott Social Worker Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 2020-01-30
1194360784 Trinity Medical Consultants Pllc Internal Medicine 1521 N Cliff Drive, Flagstaff, AZ 86001 2019-11-07
1154849610 Altacare, LLC Family Medicine 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 2017-09-05
1487174926 Lindsey Marie Forstie Nurse Practitioner 7263 E Dreamview Trail, Flagstaff, AZ 86001 2017-06-26
1255860763 Welbrook Senior Living Flagstaff LLC Skilled Nursing Facility 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 2017-06-08
1912432675 Ryan Tiscareno Specialist/Technologist 621 West Cherry Ave, Flagstaff, AZ 86001 2017-05-01
1629432380 Behavioral Consultation Services, Inc. Clinic/Center 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 2016-04-08
1275920928 Junli Gallagher Speech-Language Pathologist 1215 N. Beaver St, Flagstaff, AZ 86001 2015-04-21
1932592599 Kristen Flugstad Psyd, LLC Psychologist 125 East Elm Avenue #203, Flagstaff, AZ 86001 2015-03-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225647209 Ashley Broek Peak Nurse Practitioner 2212 N Lantern Ln, Flagstaff, AZ 86001-1133 2020-07-27
1053899583 Sarah Mcnaughton Preston Nurse Practitioner 1424 N Evergreen Dr, Flagstaff, AZ 86001-1416 2018-08-06
1093218877 Vanessa Margaret Scheu Nurse Practitioner 3861 Jemez, Flagstaff, AZ 86005-4061 2018-03-17
1376911925 Np Fromhome, LLC Nurse Practitioner 1016 W. University Ave, Suite 206, Flagstaff, AZ 86011 2015-09-11
1215349741 Gail Stearley Nurse Practitioner 710 N Beaver St Bldg 6, Flagstaff, AZ 86001-3148 2014-06-02
1508287665 Mountain Healing Nurse Practitioner 2323 E Greenlaw Ln Ste 10b, Flagstaff, AZ 86004-1849 2013-12-16
1033557103 Katie A Lemke Nurse Practitioner 1350 N Rim Dr, Flagstaff, AZ 86001-3111 2013-06-11
1548544083 Megan Engbring Nurse Practitioner 1501 S Yale St Ste 152, Flagstaff, AZ 86001-7337 2011-10-03
1033380258 Dorothy Jean Dunn Nurse Practitioner 4772 S Bright Angel Trl, Flagstaff, AZ 86001-8366 2008-03-14
1699961557 Elise Eastburn Nurse Practitioner 809 W Riordan Rd, Ste 100 #273, Flagstaff, AZ 86001-0801 2007-09-24
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Competitor

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City FLAGSTAFF
Zip Code 86001

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Dataset Information

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.

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