JESSICA ROSE BLAZIVIC (NPI# 1376059964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376059964 |
| Entity Type | Individual |
| Full Name | JESSICA ROSE BLAZIVIC |
| Practice Address |
3919 N Maple St Spokane WA 99205-1349 |
| Mailing Address |
203 N Washington St Ste 300 Spokane WA 99201-0254 |
| Practice Telephone | 5094448200 |
| Practice Fax Number | 5094447806 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447806 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | CM60369054 | WA | Other Service Providers |
| Street Address |
3919 N MAPLE ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929932 | Monica Blykowski-may | Family Medicine | 3919 N Maple St, Spokane, WA 99205 | 2005-08-11 |
| 1386256048 | Allison Marie Pettersen | Pharmacist | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-08-23 |
| 1942835640 | Patrick Jerome Bennett | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-03-03 |
| 1407488778 | Alexis Houser | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-02-05 |
| 1932747565 | Tabitha Jo Al Spedding | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-12-13 |
| 1336784628 | Katie Halleran Sullivan | Nurse Practitioner | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-11-11 |
| 1174166565 | Community Health Association of Spokane | Pharmacy | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-10-18 |
| 1629619754 | Irina Ivan Ialanji | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-09-30 |
| 1043864390 | Tori Morgan Anderson | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-25 |
| 1366095754 | Marcy Rene Pacheco | Family Medicine | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650912 | Donna Casey | Community Health Worker | 414 S University, Spokane, WA 99206 | 2013-11-15 |
| 1720425275 | Roberta Marlene Harns | Community Health Worker | 403 E Longfellow Ave, Spokane, WA 99207-1629 | 2013-05-23 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| 1306114087 | Jolenda L Fry | Community Health Worker | 3325 E Bridgeport Ave, Spokane, WA 99217-6923 | 2011-12-08 |
| 1831498450 | Katie Clark | Community Health Worker | 10709 N. Division St., Spokane, WA 99221 | 2011-03-22 |
| 1457656266 | Jessica Chang | Community Health Worker | 10709 N Division, Spokane, WA 99218 | 2011-01-26 |
| 1376776591 | Yelena Mcculloch | Community Health Worker | 12104 N Denver Dr, Spokane, WA 99218-1789 | 2009-09-03 |
| 1790937290 | Danna Michelle Roberts | Community Health Worker | 9419 North Newport Highway, Spokane, WA 99218 | 2008-10-15 |
| 1801294517 | Malia M Ethredge | Community Health Worker | 120 W Mission Ave, Spokane, WA 99201-2358 | 2014-12-11 |
| 1689076176 | Beverly Hammeren | Community Health Worker | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2014-09-16 |
| Find all providers in SPOKANE | ||||
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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.