BLASE CHRISTIAN KISSINGER (NPI# 1700402872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700402872 |
| Entity Type | Individual |
| Full Name | BLASE CHRISTIAN KISSINGER |
| Credential | RN |
| Practice Address |
721 Fawcett Ave Tacoma WA 98402-5502 |
| Practice Telephone | 2535932413 |
| Practice Fax Number | 2536274817 |
| Mailing Telephone | 2535932413 |
| Mailing Fax Number | 2536274817 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN60939226 | WA | Nursing Service Providers |
| Street Address |
721 FAWCETT AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285757450 | Tacoma Detoxification Center | Substance Abuse Rehabilitation Facility | 721 Fawcett Ave, Suite 100, Tacoma, WA 98402-5502 | 2007-04-10 |
| 1215538194 | Autumn Runyan | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-11-05 |
| 1033716196 | Reginald Rodriquez Zanders | Counselor | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-10-02 |
| 1932716503 | Donald Peters | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-28 |
| 1891302741 | Mary Agau Mapiny | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-24 |
| 1174130017 | Dana Wynn | Licensed Vocational Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-24 |
| 1437765534 | Regina Marie Harris | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-23 |
| 1801402177 | Jennifer E Geisert | Counselor | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-21 |
| 1023626066 | Georgina C May | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-07-15 |
| 1780200550 | Natascha Jackson | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647688 | Avian Adult Family Home B | Registered Nurse | 422 122nd St S, Tacoma, WA 98444-3618 | 2020-07-30 |
| 1700425733 | Ma Jessetthe Lim Hamm | Registered Nurse | 6441 S Alder St, Tacoma, WA 98409-5201 | 2019-12-20 |
| 1598301038 | Ariel Carmichael | Registered Nurse | 12180 Park Ave S School of Nursing Ramstad 214, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1427617893 | Stephanie Brookens | Registered Nurse | 930 Tacoma Ave S, Tacoma, WA 98402-2105 | 2019-06-10 |
| 1619533148 | Katarzyna Zmudzinska-ojeda | Registered Nurse | 9040 Jackson Ave Mchj-clq-c, Tacoma, WA 98431-1100 | 2019-05-09 |
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1952873515 | Angelina Abrahamson Laforteza | Registered Nurse | 25 N E St Apt 204, Tacoma, WA 98403-3106 | 2018-12-20 |
| 1093285710 | Michelle Elizabeth Meinhart | Registered Nurse | 3708 N Shirley St, Tacoma, WA 98407-2605 | 2018-11-26 |
| 1962971382 | James Mccampbell | Registered Nurse | 9040 Jackson Ave Attn: Mchenry-clan-c, Tacoma, WA 98431-0001 | 2018-11-14 |
| 1508331893 | Jacqueline D Mcmath | Registered Nurse | 4534 S 79th St Ste A, Tacoma, WA 98409-1011 | 2018-10-12 |
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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.