STEPHANIE LYNN BLACKWOOD (NPI# 1790321628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790321628 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN BLACKWOOD |
| Practice Address |
208 W Avenue P Lovington NM 88260-5419 |
| Practice Telephone | 5759640730 |
| Mailing Telephone | 5759640730 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 84-3728469 | NM | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 84-3728469 | 05 |
| Street Address |
208 W AVENUE P |
| City | LOVINGTON |
| State | NM |
| Zip Code | 88260-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761034 | Debra Mauldin | Registered Nurse | 18 West Washington, Lovington, NM 88260 | 2018-02-21 |
| 1790283786 | Brenda D'ann Perry | Registered Nurse | 700 W Jefferson, Lovington, NM 88260 | 2018-01-25 |
| 1114433513 | Rebecca Madrid | Registered Nurse | 11 Ano 1000 S Main St, Lovington, NM 88260 | 2017-12-20 |
| 1588177414 | Kimberly Kay Reeder | Registered Nurse | 1400 S. 6th St, Lovington, NM 88260 | 2017-11-14 |
| 1508379439 | Jessica Fitzgerald | Registered Nurse | 1202 W Birch Ave, Lovington, NM 88260 | 2017-11-14 |
| 1245760362 | Dyesebel Morales Solis | Physical Therapist | 1600 N. Main Street, Nor-lea Hospital District, Lovington, NM 88260 | 2017-06-13 |
| 1962949172 | Especializados En Servicios Medicos Quirurgicos Sa De Cv | General Acute Care Hospital | A. Obregon 3256 Col. Jardin, Nuevo Laredo, TAMAULIPAS 88260 | 2017-01-25 |
| 1205386992 | Graciela Urbina | Dentist | O Campo 3147, Nvo Laredo, TAMPS 88260 | 2016-10-06 |
| 1710294913 | Lindsey Anitra Broom | Speech-Language Pathologist | 1300 W. Dogwood, Lovington, NM 88260 | 2010-09-09 |
| 1003129545 | Rosalinda Barraza | Occupational Therapist | 18 W Washington, Lovington, NM 88260 | 2010-07-26 |
| Find all providers in zip 88260 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1164053252 | Doni Archibeque | Home Health Aide | 2036 Solara Loop Ne, Rio Rancho, NM 87144-5808 | 2020-01-28 |
| 1619510302 | Silvia Vazquez Grajeda | Home Health Aide | 2079 Briarwood Ln, Las Cruces, NM 88005-1524 | 2019-10-24 |
| 1629610266 | Rachelle Ntange Lebughe | Home Health Aide | 10411 Crosscut Dr Nw, Albuquerque, NM 87114-5630 | 2019-10-15 |
| 1356998629 | Ronette Olson | Home Health Aide | 2617 Florida St Ne, Albuquerque, NM 87110-3361 | 2019-08-21 |
| 1164075305 | Charitin Family Care Services LLC | Home Health Aide | 7043 2nd St Nw Unit 62, Albuquerque, NM 87107-6038 | 2019-07-17 |
| 1235796681 | Marverly Enterprises, LLC | Home Health Aide | 1405 Nm Hwy 124, Cubero, NM 87014 | 2019-05-21 |
| 1891282430 | Teresa Perez | Home Health Aide | 401 Desert Garden Dr, Santa Teresa, NM 88008-9420 | 2018-04-19 |
| 1699285155 | Jacob Braldey | Home Health Aide | 1401 Ducale Dr Se, Rio Rancho, NM 87124-8772 | 2017-10-10 |
| 1003338948 | Kathleen Griego | Home Health Aide | 411 St. Michaels Drive, Suite #3, Santa Fe, NM 87505 | 2017-07-12 |
| 1851701015 | Sergio Esparza | Home Health Aide | 800 El Paseo Rd., Las Cruces, NM 88001 | 2014-04-28 |
| 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.