MR. SHAYNE PHILIP BLEVINS (NPI# 1538305057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538305057 |
| Entity Type | Individual |
| Full Name | MR. SHAYNE PHILIP BLEVINS |
| Credential | NP-C |
| Practice Address |
122 W 7th Ave Ste 110 Spokane WA 99204-2301 |
| Practice Telephone | 5094560262 |
| Practice Fax Number | 5094625059 |
| Mailing Telephone | 5094560262 |
| Mailing Fax Number | 5094625059 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00152476 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60070792 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
122 W 7TH AVE STE 110 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497863773 | Kai A Ihnken | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 122 W 7th Ave Ste 110, Spokane, WA 99204-2301 | 2006-08-28 |
| 1598112211 | Kellen Gumm | Physician Assistant | 122 W 7th Ave Ste 110, Spokane, WA 99204-2301 | 2016-05-23 |
| 1114360815 | Jeremy Walker Patrick | Physician Assistant | 122 W 7th Ave Ste 110, Spokane, WA 99204-2301 | 2013-04-11 |
| 1417168527 | Michelle Rhee | Physician Assistant | 122 W 7th Ave Ste 110, Spokane, WA 99204-2301 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330992 | Bryan Donald Cress | Nurse Practitioner | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2019-01-30 |
| 1922570373 | Cassandra Lynn Prewitt | Nurse Practitioner | 400 E 5th Ave # 1, Spokane, WA 99202-1334 | 2018-12-26 |
| 1447743117 | Matthew Kilgore | Nurse Practitioner | 707 W 7th Ave Ste 290, Spokane, WA 99204-2833 | 2018-06-07 |
| 1902252505 | Richard D Ervin | Nurse Practitioner | 1820 W Pepper Ln, Spokane, WA 99218-2759 | 2016-05-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1427427178 | Kristen Bolling | Nurse Practitioner | 6518 E Lyons Ave, Spokane, WA 99217-9700 | 2015-09-23 |
| 1063897965 | Julia Wolf | Nurse Practitioner | 9631 N Nevada St Ste 202, Spokane, WA 99218-1197 | 2015-07-21 |
| 1457746737 | Ashley Jones | Nurse Practitioner | 10414 W Highway 2 Ste 10, Spokane, WA 99224-5347 | 2015-04-02 |
| 1639580111 | Avante Human Services and Advocacy Project LLC | Nurse Practitioner | 1312 N Monroe St Ste 305, Spokane, WA 99201-2623 | 2014-05-18 |
| 1518387067 | Jennifer Lyn Nava | Nurse Practitioner | 316 W Boone Ave Ste 757, Spokane, WA 99201-2364 | 2014-04-23 |
| Find all providers in SPOKANE | ||||
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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.