ELIZABETH ANN BLAYLOCK (NPI# 1437790946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437790946 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN BLAYLOCK |
| Credential | RPSGT, RST, CCSH |
| Practice Address |
8000 Centerview Pkwy Ste 305 Cordova TN 38018-4225 |
| Mailing Address |
3476 Hunterfield Trl Bartlett TN 38135-3012 |
| Practice Telephone | 9012613508 |
| Practice Fax Number | 9012592202 |
| Mailing Telephone | 9014614761 |
| Mailing Fax Number | 9013774885 |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2019-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 9 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
8000 CENTERVIEW PKWY STE 305 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154717262 | Kayla Dawn Bowden | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018-4225 | 2015-04-15 |
| 1346624327 | Nathan Grant Lawrence | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018859 | Angela Carroll Childs | Specialist/Technologist, Other | 5050 Poplar Ave Ste 300, Memphis, TN 38157-0300 | 2019-11-21 |
| 1619511383 | Kenisha Davis | Specialist/Technologist, Other | 2944 N Stage Plz, Bartlett, TN 38134-3705 | 2019-11-05 |
| 1376191783 | Erien Wynne Fryer | Specialist/Technologist, Other | 190 Hatcher Ln Ste B, Clarksville, TN 37043-5989 | 2019-08-28 |
| 1851856512 | Brittany Marie Baker | Specialist/Technologist, Other | 140 Dameron Ave # 1800, Knoxville, TN 37917-6434 | 2019-02-07 |
| 1063864403 | Jennifer Rippetoe Lawrence | Specialist/Technologist, Other | 4267 Turnberry Rd, Lebanon, TN 37090-6503 | 2016-07-11 |
| 1265899959 | Delta Sleep Center Pllc | Specialist/Technologist, Other | 1505 Woodlawn Ave Ste B, Dyersburg, TN 38024-3145 | 2016-01-26 |
| 1255650867 | Darryl Deshawn Champion | Specialist/Technologist, Other | 444 Lealand Lane, Lebanon, TN 37087 | 2010-05-21 |
| 1013128701 | Eva Barrett Beal | Specialist/Technologist, Other | 463 Burnt Hill Rd, Unionville, TN 37180-8604 | 2007-05-24 |
| 1316159031 | Michael Shawn Jarrett | Specialist/Technologist, Other | 915 Poplar Springs Rd, Huntingdon, TN 38344-8867 | 2007-05-04 |
| 1164552832 | Renee Franklin | Specialist/Technologist, Other | 744 School Dr, Tn Dept of Health, Gainesboro, TN 38562-9575 | 2007-03-06 |
| 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.