MS. DIONISA EUGENIA BLAIR (NPI# 1417178427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417178427 |
Entity Type | Individual |
Full Name | MS. DIONISA EUGENIA BLAIR |
Credential | B.S. |
Practice Address |
4959 Dry Fork Road Rocky Gap VA 24366-0000 |
Mailing Address |
111 Town Hollow Road Cedar Bluff VA 24609-0000 |
Practice Telephone | 3049204785 |
Practice Fax Number | 0000000000 |
Mailing Telephone | 2769633554 |
Mailing Fax Number | 2769634653 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
101YA0400X | VA | Behavioral Health & Social Service Providers |
Street Address |
4959 DRY FORK ROAD |
City | ROCKY GAP |
State | VA |
Zip Code | 24366-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184130395 | John J. Doyle, Dds, P.C. | Dentist | 12080 N Scenic Hwy, Rocky Gap, VA 24366 | 2017-12-26 |
1437237336 | John Doyle | Dentist | 12080 N Scenic Hwy, Rocky Gap, VA 24366-0000 | 2006-11-01 |
1366530446 | Tamara Black | Dentist | 12080 N. Scenic Hwy, Rocky Gap, VA 24366-0000 | 2006-10-11 |
1063902492 | Olivia Hart | Speech-Language Pathologist | 7401 Laurel Fork Rd, Rocky Gap, VA 24366-7012 | 2018-05-10 |
1699324905 | Mary Leticia Wilcox | Technician | 52 Briarwood Ln, Rocky Gap, VA 24366-7112 | 2019-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699324905 | Mary Leticia Wilcox | Technician | 52 Briarwood Ln, Rocky Gap, VA 24366-7112 | 2019-09-09 |
1063902492 | Olivia Hart | Speech-Language Pathologist | 7401 Laurel Fork Rd, Rocky Gap, VA 24366-7012 | 2018-05-10 |
1184130395 | John J. Doyle, Dds, P.C. | Dentist | 12080 N Scenic Hwy, Rocky Gap, VA 24366 | 2017-12-26 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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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.