REBECCA BLAIR (NPI# 1801028238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801028238 |
| Entity Type | Individual |
| Full Name | REBECCA BLAIR |
| Other Name | REBECCA BUCKERT |
| Credential | LVN |
| Practice Address |
3467 W Shaw Ave Suite # 102 Fresno CA 93711-3223 |
| Mailing Address |
1799 Hampton Ave Clovis CA 93611-5127 |
| Practice Telephone | 5592740456 |
| Mailing Telephone | 5592831791 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 220545 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659503472 | Rebecca L Blair | Registered Nurse | Danville Polyclinic, Ltd., 707 N Logan Ave, Danville, IL 61832-4360 | 2009-08-12 |
| 1407221864 | Rebecca Elizabeth Blair | Nurse Practitioner | 1086 Franklin St, Johnstown, PA 15905-4305 | 2015-12-09 |
| 1467893701 | Rebecca L Blair | Registered Nurse | 2501 S Mebane St, Burlington, NC 27215-6235 | 2013-07-15 |
| 1942557137 | Rebecca R Blair | Registered Nurse | 284 Executive Park Dr, Concord, NC 28025-1894 | 2012-08-07 |
| Street Address |
3467 W SHAW AVE SUITE # 102 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225171473 | Lai Lani Jones | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite 100, Fresno, CA 93711-3223 | 2007-02-15 |
| 1013330232 | Marcia Barron | Case Manager/Care Coordinator | 3467 W Shaw Ave, Ste. #101, Fresno, CA 93711-3223 | 2014-01-23 |
| 1467793687 | Emily Roellke | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite #101, Fresno, CA 93711-3223 | 2013-03-13 |
| 1952612012 | Sugar J Watkins | Licensed Vocational Nurse | 3467 W Shaw Ave, Suite #100, Fresno, CA 93711-3223 | 2010-06-23 |
| 1477874857 | Rosalina A Campos | Licensed Psychiatric Technician | 3467 W Shaw Ave, Suite #101, Fresno, CA 93711-3223 | 2010-06-19 |
| 1881915429 | Marcia Walls | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite #101, Fresno, CA 93711-3223 | 2010-06-17 |
| 1154642874 | Victoria Rodriguez | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite # 101, Fresno, CA 93711-3223 | 2010-06-16 |
| 1568781839 | Nancy Williams | Licensed Vocational Nurse | 3467 W Shaw Ave, Suite # 100, Fresno, CA 93711-3223 | 2010-05-25 |
| 1689807489 | Isabel Mendoza | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite #100, Fresno, CA 93711-3223 | 2009-08-26 |
| 1629200837 | Severo Rosales Jr. | Case Manager/Care Coordinator | 3467 W Shaw Ave, Suite # 102, Fresno, CA 93711-3223 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| 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 |
|---|---|---|---|---|
| 1336746171 | Laongdao Chomphosy | Licensed Vocational Nurse | 6698 E Harwood Ave, Fresno, CA 93727-6566 | 2020-10-05 |
| 1952922577 | Linesey Cupidon | Licensed Vocational Nurse | 2011 Bravos Manor Ln, Fresno, TX 77545-1557 | 2020-05-05 |
| 1417582628 | Stacy Moraa Ombogo | Licensed Vocational Nurse | 7166 N Fruit Ave Apt 120, Fresno, CA 93711-0744 | 2020-03-08 |
| 1609406289 | Amandeep Singh | Licensed Vocational Nurse | 4303 N Gregory Ave, Fresno, CA 93722-0455 | 2020-01-22 |
| 1982251369 | Chanphany Charlene Gonzalez | Licensed Vocational Nurse | 3741 N Feland Ave, Fresno, CA 93722-4522 | 2019-08-21 |
| 1902451784 | Santa Clara Urquieta | Licensed Vocational Nurse | 1542 E Andrews Ave, Fresno, CA 93704-5129 | 2019-08-07 |
| 1982260345 | Kayla Nicole Torres | Licensed Vocational Nurse | 937 N Peach Ave # B115, Fresno, CA 93727-2485 | 2019-05-11 |
| 1558824193 | Kirsten Castillo-morris | Licensed Vocational Nurse | 3646 W Cortland Ave, Fresno, CA 93722-4706 | 2019-04-10 |
| 1457813354 | Roberto Aguilar | Licensed Vocational Nurse | 40 E Minarets Ave Ste 404, Fresno, CA 93650-1239 | 2019-04-01 |
| 1215493044 | Antonia De La Isla Bolanos | Licensed Vocational Nurse | 5540 E Lorena Ave, Fresno, CA 93727-6330 | 2019-02-18 |
| Find all providers in FRESNO | ||||
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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.