AMANDA JANE BLALOCK (NPI# 1679121651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679121651 |
| Entity Type | Individual |
| Full Name | AMANDA JANE BLALOCK |
| Credential | RN |
| Practice Address |
1230 Monitor St Wenatchee WA 98801-3534 |
| Mailing Address |
12715 E Mission Ave Spokane Valley WA 99216-1027 |
| Practice Telephone | 5092325766 |
| Mailing Telephone | 5092325766 |
| Mailing Fax Number | 5093215472 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN60984309 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2077844 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902307473 | Amanda Pagels Blalock | Speech-Language Pathologist | 1061 Big Bethel Rd, Hampton, VA 23666-1946 | 2018-02-21 |
| 1467970475 | Amanda Lynne Blalock | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075-2600 | 2017-08-30 |
| 1740681279 | Amanda Blalock | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2014-09-16 |
| Street Address |
1230 MONITOR ST |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346512 | Parkside Healthcare LLC | Skilled Nursing Facility | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2005-09-14 |
| 1114524576 | Neddy Leppanen-armijo | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-10-07 |
| 1962017863 | Erin A Robards | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-09 |
| 1083228068 | Tohnya P Shuffield | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-07 |
| 1003420084 | Kayla M Houck | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-07 |
| 1700400967 | Matea R Flores | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-06-03 |
| 1588209902 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-11-08 |
| 1346883063 | Sam Lynn Shearman | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-10-25 |
| 1346899655 | Ethan Henry Wall | Licensed Practical Nurse | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-09-09 |
| 1851953640 | Michelle L Dodge | Licensed Psychiatric Technician | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632140 | Rachael Minton | Registered Nurse | 6221 Ne Fourth Plain Blvd Ste A, Vancouver, WA 98661-7206 | 2020-02-26 |
| 1164079422 | Trudy K Frantz | Registered Nurse | 215 W 2nd Ave Lowr, Spokane, WA 99201-3605 | 2019-08-21 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1770689507 | Abbie Alane Carrasco | Registered Nurse | American Lake Vamc, Tacoma, WA 98493-0001 | 2006-09-16 |
| 1053911917 | Michelle N Lien | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2020-10-29 |
| 1659971513 | Kari-anne Kane-agius | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-10-29 |
| 1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1831716554 | Robin Lynn Miller | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-29 |
| 1467076521 | Ate'ha Celeste Triance | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2020-06-04 |
| 1427677764 | Desiree A Johnson | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AMANDA JANE BLALOCK.
| 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.