KRISTINE BLAIS ALIX (NPI# 1457757221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457757221 |
| Entity Type | Individual |
| Full Name | KRISTINE BLAIS ALIX |
| Other Name | KRISTINE BLAIS MILLER |
| Credential | FNP-BC |
| Practice Address |
3767 Main St Warrensburg NY 12885-1890 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5186232844 |
| Practice Fax Number | 5186233416 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307102 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F339708 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04153086 | 05 |
| Street Address |
3767 MAIN ST |
| City | WARRENSBURG |
| State | NY |
| Zip Code | 12885-1890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437158110 | Kathryn Mary Kernan | Advanced Practice Midwife | 3767 Main St, Warrensburg, NY 12885-1837 | 2005-07-15 |
| 1255767752 | Emily Beatty Monaco | Physician Assistant | 3767 Main St, Warrensburg, NY 12885-1890 | 2013-09-17 |
| 1912281502 | Rita L Navatka | Social Worker | 3767 Main St, Warrensburg, NY 12885 | 2011-09-30 |
| 1447553730 | Thomas L Lusignan | Social Worker | 3767 Main St, Warrensburg, NY 12885-1890 | 2010-12-08 |
| 1578877171 | Donna S Sauer-jones | Social Worker | 3767 Main St, Warrensburg, NY 12885-1890 | 2010-08-06 |
| 1679704555 | David Gearwar | Physician Assistant | 3767 Main St, Warrensburg, NY 12885-1837 | 2009-07-27 |
| 1346478658 | Suzanne E Bergin | Internal Medicine | 3767 Main St, Warrensburg, NY 12885-1890 | 2009-06-25 |
| 1477763050 | Wilma Emily Hammond | Registered Nurse | 3767 Main St, Warrensburg, NY 12885-1837 | 2007-05-23 |
| 1245452119 | Michelle M Gabay | Nurse Practitioner | 3767 Main St, Warrensburg, NY 12885-1890 | 2007-05-02 |
| 1215157235 | David Tucker Slingerland | Family Medicine | 3767 Main St, Warrensburg, NY 12885-1890 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477636462 | Raluca Sandler | Dentist | 3814 Main Street, Warrensburg, NY 12885 | 2006-10-23 |
| 1326144072 | Warrensburg Emergency Medical Services Inc | Ambulance | 3 King St, Warrensburg, NY 12885 | 2006-09-16 |
| 1396118642 | Tia Dawson | Social Worker | 1 James St, Warrensburg, NY 12885 | 2015-11-09 |
| 1902099450 | Jeanine R Lawler | Specialist | 28 Lake Ave, Warrensburg, NY 12885-1028 | 2007-08-18 |
| 1790098747 | Joann Elizabeth Donohue | Registered Nurse | 11 Ashe Dr, Warrensburg, NY 12885-1032 | 2010-07-20 |
| 1598190688 | Suzanne Sheree Walpole | Pharmacist | 3971 Main St, Warrensburg, NY 12885-1152 | 2013-09-07 |
| 1760412225 | Wendy Ann Maciariello | Physical Therapist | 28 Hudson St, Warrensburg, NY 12885-1204 | 2006-07-03 |
| 1942607197 | Tara Brown | Physical Therapist | 28 Hudson St, Warrensburg, NY 12885-1204 | 2014-12-03 |
| 1427481845 | Erica Ovitt Mahoney | Physical Therapist | 28 Hudson St, Warrensburg, NY 12885-1204 | 2013-08-21 |
| 1114231487 | Daniel M Perry | Physical Therapist | 28 Hudson St, Warrensburg, NY 12885-1204 | 2010-07-29 |
| Find all providers in zip 12885 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650213 | Sayward Oltman | Nurse Practitioner | 1594 Roanoke Dr, Warrensburg, MO 64093-8914 | 2017-03-20 |
| 1629281647 | Karen Caldwell | Nurse Practitioner | 612 Clark St, Warrensburg, MO 64093 | 2007-05-07 |
| 1346390697 | Paula K Keil | Nurse Practitioner | 427 Burkarth Rd, Warrensburg, MO 64093-3101 | 2007-01-11 |
| 1447816855 | Kenyon Michelle Hagen | Nurse Practitioner | 513 Burkarth Rd, Warrensburg, MO 64093 | 2019-05-13 |
| 1568941532 | Olivia Mae Maxam | Nurse Practitioner | 3767 Main Street, Warrensburg, NY 12885-1890 | 2018-08-10 |
| 1538651047 | Jessica Love | Nurse Practitioner | 108 W South St, Warrensburg, MO 64093-2324 | 2018-05-31 |
| 1063934925 | Jennifer Cates | Nurse Practitioner | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2017-07-12 |
| 1134660665 | Kasey Heiman | Nurse Practitioner | 514 Burkarth Rd, Warrensburg, MO 64093-3104 | 2017-03-16 |
| 1326596560 | Jill Cobb | Nurse Practitioner | 427 Burkarth Rd, Warrensburg, MO 64093-3101 | 2016-09-16 |
| 1679986749 | Terri Ann Meyer | Nurse Practitioner | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2014-06-06 |
| Find all providers in WARRENSBURG | ||||
| City | WARRENSBURG |
| Zip Code | 12885 |
Please comment or provide details below to improve the information on KRISTINE BLAIS ALIX.
| 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.