STEPHANIE FORD BLACHE (NPI# 1811008592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811008592 |
| Entity Type | Individual |
| Full Name | STEPHANIE FORD BLACHE |
| Credential | MS, RN, CPNP |
| Practice Address |
8515 Greenville Ave Ste N108 Dallas TX 75243-7035 |
| Mailing Address |
7200 State Highway 161 Suite 100 Irving TX 75039-2804 |
| Practice Telephone | 2142210855 |
| Practice Fax Number | 2142211437 |
| Mailing Telephone | 9723317200 |
| Mailing Fax Number | 9723317201 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
501766 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7200 State Highway 161, Suite 100, Irving, TX 750392804 | 9723317200 | 9723317201 |
| Street Address |
8515 GREENVILLE AVE STE N108 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688042 | Michael Lyons | Family Medicine | 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 | 2005-09-02 |
| 1922590405 | Katrina Irwin | Registered Nurse | 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 | 2018-05-31 |
| 1003306143 | Maritza Castillo | Counselor | 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 | 2018-05-15 |
| 1205343555 | Kayla Valis | Dietitian, Registered | 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 | 2018-01-09 |
| 1184139362 | Stephanie Omotayo | Nurse Practitioner | 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 | 2017-12-09 |
| 1245461177 | Cheryl Chacko Thamaravelil | Family Medicine | 8515 Greenville Ave Ste N108, Dallas, TX 75243 | 2009-07-27 |
| 1740433242 | Blanca Erika Pena | Dentist | 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 | 2008-10-28 |
| 1912107707 | Jennifer Chang Lo | Dentist | 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 | 2007-07-20 |
| 1518019512 | Paul I Nettles | Dentist | 8515 Greenville Ave Ste N108, Dallas, TX 75243-7035 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229510 | Sara Klueber | Nurse Practitioner | 1935 Medical District Dr # C8.01, Dallas, TX 75235-7701 | 2019-01-23 |
| 1932671443 | Allison Blazek | Nurse Practitioner | 1935 Medical District Dr # F3.214, Dallas, TX 75235-7701 | 2018-12-21 |
| 1124520291 | Dalia K George | Nurse Practitioner | 7777 Forest Ln Ste C840, Dallas, TX 75230-2594 | 2018-03-06 |
| 1740790849 | Madeline Claire Crank | Nurse Practitioner | 7777 Forest Ln Ste C742, Dallas, TX 75230-6862 | 2017-10-03 |
| 1215480355 | Ashley Smith | Nurse Practitioner | 8325 Walnut Hill Ln# 225, Dallas, TX 75231 | 2016-07-25 |
| 1316349962 | Jennifer Tracy | Nurse Practitioner | 2350 N Stemmons Fwy Ste 4300mcf4, Dallas, TX 75207-2700 | 2014-09-25 |
| 1013334879 | Sneha Patel | Nurse Practitioner | 4830 Cedar Springs Rd, Unit 3, Dallas, TX 75219-1366 | 2014-03-18 |
| 1720415748 | Heidi Nicole Pettit | Nurse Practitioner | 1935 Medical District Dr # E2300, Dallas, TX 75235-7701 | 2013-10-04 |
| 1821357088 | Robyn Joy Haynes | Nurse Practitioner | 1935 Medical District Dr # D2.04, Dallas, TX 75235-7701 | 2012-05-09 |
| 1205102589 | Ashley Caroline Eckstein | Nurse Practitioner | 8440 Walnut Hill Ln Ste 540, Dallas, TX 75231-3824 | 2012-03-30 |
| Find all providers in DALLAS | ||||
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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.