CRISTI LYNN BLALOCK (NPI# 1730685504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730685504 |
| Entity Type | Individual |
| Full Name | CRISTI LYNN BLALOCK |
| Practice Address |
2243 Eddie Williams Rd Johnson City TN 37601-2872 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4239756000 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2243 EDDIE WILLIAMS RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730245010 | Frontier Health | Clinic/Center | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2006-12-29 |
| 1396177010 | Shounda Michelle Stevenson | Case Manager/Care Coordinator | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2013-08-05 |
| 1427492842 | Megan Brooke Clark | Counselor | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2013-04-29 |
| 1750628293 | Teresa Diane Godsey | Case Manager/Care Coordinator | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2013-01-03 |
| 1780948034 | Lacinda Thomas Hartman | Counselor | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2012-07-02 |
| 1336407154 | Aaron Jordan Cox | Counselor | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2012-04-30 |
| 1457638215 | Karen S Barrett | Counselor | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2011-11-08 |
| 1154621498 | Candi Michelle Doulgas | Counselor | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2010-11-02 |
| 1700103934 | Kenneth Ray Ellis | Specialist | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2010-04-28 |
| 1184957177 | Kevin Lynn Thompson | Case Manager/Care Coordinator | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248559 | Khia Ladawn Hudgins-smith | Counselor | 2700 S Roan St Ste 410, Johnson City, TN 37601-7638 | 2019-01-03 |
| 1063855575 | Kesha Brooke Brown | Counselor | 208 Quary Rd, Johnson City, TN 37601-7580 | 2013-04-15 |
| 1548514110 | Lawrence Rice | Counselor | 301 W Watauga Ave, Johnson City, TN 37604-5545 | 2012-11-05 |
| 1750668489 | Katherine Combs | Counselor | 4100 N Roan St Ste 214, Johnson City, TN 37601-1103 | 2011-11-09 |
| 1659686327 | Foundations for Life Principles/moral Kombat | Counselor | 2266 N Roan St, Johnson City, TN 37601-2527 | 2010-08-18 |
| 1104144922 | Julie Anna Sears | Counselor | 208 W Fairview Ave, Johnson City, TN 37604-5611 | 2010-05-05 |
| 1871725218 | Kristine Barbara Smith | Counselor | Lamont St & Veterans Way, Johnson City, TN 37604 | 2009-08-19 |
| 1598928350 | Heather Rena Hyder | Counselor | 109 E Watauga Ave, Johnson City, TN 37601-4675 | 2008-07-02 |
| 1083707913 | Keener Fryde Huneycutt | Counselor | 900 Buffalo St, Magnolia Ridge Treatment Center, Johnson City, TN 37604 | 2006-10-02 |
| 1457455131 | Wayne Keith Shorter II | Counselor | 109 W Watanga Ave, Johnson City, TN 37604 | 2006-09-12 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.