BLAYNE ADAMS (NPI# 1477009801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477009801 |
Entity Type | Individual |
Full Name | BLAYNE ADAMS |
Practice Address |
500 Hancock Street Saginaw MI 48602-4224 |
Practice Telephone | 9897973400 |
Practice Fax Number | 9897990206 |
Mailing Telephone | 9897973400 |
Mailing Fax Number | 9897990206 |
Enumeration Date | 2016-08-26 |
Last Update Date | 2020-03-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
500 HANCOCK STREET |
City | SAGINAW |
State | MI |
Zip Code | 48602-4224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366517468 | Clare Lenhart | Social Worker | 500 Hancock Street, Saginaw, MI 48602-4224 | 2006-11-22 |
1164061537 | Janet Diefenbach | Peer Specialist | 500 Hancock Street, Saginaw, MI 48602-4224 | 2020-01-02 |
1245749043 | Keyana Jackee' Roberts | Social Worker | 500 Hancock Street, Saginaw, MI 48602-4224 | 2017-09-25 |
1730604232 | Jalen Christopher Conway | Technician, Other | 500 Hancock Street, Saginaw County Mental Health, Saginaw, MI 48602-4224 | 2017-08-07 |
1306398946 | Stephanie Lynn Stender | Peer Specialist | 500 Hancock Street, Saginaw, MI 48602-4224 | 2016-10-31 |
1629529847 | Jenna Garno | Social Worker | 500 Hancock Street, Saginaw, MI 48602-4224 | 2016-10-24 |
1598219099 | Natasha Garchow | Social Worker | 500 Hancock Street, Saginaw, MI 48602 | 2016-08-12 |
1538539838 | Stephanie Boddie Williams | Community Health Worker | 500 Hancock Street, Saginaw, MI 48602-4224 | 2015-09-29 |
1043641681 | Daniel Richard Durow | Counselor | 500 Hancock Street, Saginaw, MI 48602-4224 | 2013-12-09 |
1548690944 | Stacy Ondrias | Social Worker | 500 Hancock Street, Saginaw, MI 48602-4224 | 2013-11-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417578865 | Veronica R Vasquez | Peer Specialist | 500 Hancock St # 48602, Saginaw, MI 48602-4224 | 2020-04-27 |
1447794243 | Toia A Johnson | Peer Specialist | 5120 E Holland Rd, Saginaw, MI 48601-9470 | 2016-12-13 |
1164061537 | Janet Diefenbach | Peer Specialist | 500 Hancock Street, Saginaw, MI 48602-4224 | 2020-01-02 |
1629615919 | Shmarira Nicole Torrence | Peer Specialist | 500 Hancock St, Saginaw, MI 48602-4224 | 2019-12-05 |
1952946014 | Lisa Renee Husarick | Peer Specialist | 3665 Bay Rd, Saginaw, MI 48603-2445 | 2019-11-13 |
1619518024 | Larry West | Peer Specialist | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2019-10-07 |
1568016830 | Emily Ballien | Peer Specialist | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-07-25 |
1093374951 | Jennifer Hauch | Peer Specialist | 1321 S Fayette St, Saginaw, MI 48602-1447 | 2019-06-13 |
1821655952 | Stephanie Martineau | Peer Specialist | 2100 Hemmeter Rd, Saginaw, MI 48603-3944 | 2019-05-23 |
1740844661 | Cirven Merrill | Peer Specialist | 1241 N Michigan Ave, Saginaw, MI 48602-4729 | 2019-04-25 |
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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.