MISS TAMRIA DENISE BLACKLEY (NPI# 1457625345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457625345 |
| Entity Type | Individual |
| Full Name | MISS TAMRIA DENISE BLACKLEY |
| Credential | CPNP-PC |
| Practice Address |
208 Oak Dr S 400a Lake Jackson TX 77566-5790 |
| Practice Telephone | 9792852900 |
| Practice Fax Number | 9792852904 |
| Mailing Telephone | 9792852900 |
| Mailing Fax Number | 9792852904 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 715129 | TX | Other Service Providers |
| Street Address |
208 OAK DR S 400A |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044777 | Roland Prezas | Family Medicine | 208 Oak Dr S, Suite 200, Lake Jackson, TX 77566-5790 | 2005-06-21 |
| 1679026926 | Chelsea L. Thomas | Psychologist | 208 Oak Dr S, Lake Jackson, TX 77566-5790 | 2016-08-03 |
| 1649695909 | Barbara De Oliveira | Nurse Practitioner | 208 Oak Dr S, Lake Jackson, TX 77566-5790 | 2014-02-24 |
| 1952741084 | Jennifer L Kucera | Nurse Practitioner | 208 Oak Dr S, 200, Lake Jackson, TX 77566-5790 | 2013-07-03 |
| 1134562598 | Mitesh Mahesh Patel | Family Medicine | 208 Oak Dr S, Suite 200, Lake Jackson, TX 77566-5790 | 2013-04-16 |
| 1902186000 | Houston Vamc | Clinic/Center | 208 Oak Dr S, Lake Jackson, TX 77566-5790 | 2011-08-19 |
| 1174751564 | Options Urgent Care & Wellness Center LLC | Clinic/Center | 208 Oak Dr S, Suite 502, Lake Jackson, TX 77566-5790 | 2009-06-24 |
| 1871754036 | Gollavelli Jyothi Krishna | Psychiatry & Neurology | 208 Oak Dr S, Suite 700, Lake Jackson, TX 77566-5790 | 2008-06-20 |
| 1073704268 | Loni Lynn Shepherd | Pediatrics | 208 Oak Dr S, Suite 400, Lake Jackson, TX 77566-5790 | 2007-08-05 |
| 1922127075 | Shamim Patni | Family Medicine | 208 Oak Dr S, Suite 700, Lake Jackson, TX 77566-5790 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174803134 | Michael P. Gilliland, M.d., P.a. | Specialist | 215 Oak Dr S Ste D, Lake Jackson, TX 77566-5617 | 2011-08-23 |
| 1891092839 | Kimberly Cornwell | Specialist | 64 Deerwood Ct, Lake Jackson, TX 77566-4457 | 2011-02-25 |
| 1437331139 | Connie Onxley | Specialist | 206 Highway 332 W, Suite A, Lake Jackson, TX 77566-4013 | 2007-12-04 |
| 1154515740 | Frank Adolph Peltier | Specialist | 215 Oak Dr S Ste C, Lake Jackson, TX 77566-5617 | 2007-08-28 |
| 1003928326 | Mark D Bonnen Md Pa | Specialist | 100 Medical Dr # B, Lake Jackson, TX 77566-5674 | 2006-08-31 |
| 1841266509 | James D Fuchs | Specialist | 100 Medical Drive, Lake Jackson, TX 77566-5674 | 2006-02-23 |
| 1851385827 | Digestive & Liver Center, Pa | Specialist | 109 Parking Way St, Lake Jackson, TX 77566-5228 | 2005-09-07 |
| 1255330445 | William H Sweatt | Specialist | 104 Circle Way St Ste B, Lake Jackson, TX 77566-5200 | 2005-07-19 |
| 1912904731 | Blair William Krell | Specialist | 214 Parking Way St, Lake Jackson, TX 77566-5227 | 2005-07-07 |
| 1215931613 | Nicholas B Creel | Specialist | 215 Oak Dr S, Ste A, Lake Jackson, TX 77566-5617 | 2005-06-13 |
| Find all providers in LAKE JACKSON | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
Please comment or provide details below to improve the information on MISS TAMRIA DENISE BLACKLEY.
| 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.