MRS. JENNY T BLACKMAN (NPI# 1518400183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518400183 |
Entity Type | Individual |
Full Name | MRS. JENNY T BLACKMAN |
Credential | NP |
Practice Address |
3052 Willow Pass Rd Concord CA 94519-2552 |
Practice Telephone | 9256814145 |
Mailing Telephone | 9256814145 |
Enumeration Date | 2016-11-29 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP95005299 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
309 Mohar Ct, Pleasant Hill, CA 945235211 | 9256916453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194295899 | Jenny Blackman | Family Medicine | 13325 Hargrave Rd Ste 270, Houston, TX 77070-4540 | 2018-11-26 |
Street Address |
3052 WILLOW PASS RD |
City | CONCORD |
State | CA |
Zip Code | 94519-2552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346328507 | Contra Costa County | Clinic/Center | 3052 Willow Pass Rd, Concord, CA 94519-7600 | 2006-11-02 |
1104243211 | Maya Pandurangi | Internal Medicine | 3052 Willow Pass Rd, Concord, CA 94519-2552 | 2014-03-26 |
1316298011 | Chere Nyasha Sealey-nott | Registered Nurse | 3052 Willow Pass Rd, Concord, CA 94519-2552 | 2012-09-21 |
1386867422 | Daniel Cremin | Internal Medicine | 3052 Willow Pass Rd, Concord, CA 94519-7600 | 2007-04-10 |
1215007893 | Contra Costa County | Clinic/Center | 3052 Willow Pass Rd, Concord, CA 94519-7600 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
Find all providers in zip 94519 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588215594 | Nicole D Adam | Nurse Practitioner | 10 Ferry St Ste 201, Concord, NH 03301-5081 | 2019-09-23 |
1477033637 | Irene Jeptolo Yaya | Nurse Practitioner | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2018-08-17 |
1427563279 | Vincentia Mcgrath | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2017-12-01 |
1659764033 | Eileen Mae Arroz | Nurse Practitioner | 1850 Gateway Blvd Ste 900, Concord, CA 94520-8418 | 2015-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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.