AMY BLACKLEDGE (NPI# 1386268332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386268332 |
| Entity Type | Individual |
| Full Name | AMY BLACKLEDGE |
| Credential | RN |
| Practice Address |
3250 W Cherry Ln Meridian ID 83642-1120 |
| Mailing Address |
326 W Screech Owl Dr Kuna ID 83634-3528 |
| Practice Telephone | 2083026404 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
41313 | ID | Nursing Service Providers |
| Street Address |
3250 W CHERRY LN |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821032376 | Saint Alphonsus Physician Services Inc | Clinic/Center | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2006-06-15 |
| 1538197504 | St. Alphonsus Physician Services Inc | Family Medicine | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253670 | Morgan Wussow | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-10-20 |
| 1386258291 | Vanessa Potoski | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-08 |
| 1548871759 | Katherine K Andersen | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-08-11 |
| 1730798539 | Betty Lynne Foote | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-07-28 |
| 1942827191 | Charity Elizabeth Clausen | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-07-02 |
| 1427675867 | Michelle Casper | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-07-01 |
| 1194251827 | Glenda Young | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2017-05-01 |
| 1831442482 | Ashley L Ballensky | Registered Nurse | 717 Mission Road, Fort Hall, ID 83203-0717 | 2012-10-19 |
| 1629262134 | Chanda Mae Heer | Registered Nurse | 1115 B St, Plummer, ID 83851 | 2007-08-29 |
| 1528058427 | Darcy Ann Humphrey | Registered Nurse | 1115 B Street, Plummer, ID 83851 | 2005-10-24 |
| Find all providers with the same taxonomy | ||||
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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.