MRS. JACKIE C BLAIR (NPI# 1821274408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821274408 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE C BLAIR |
| Credential | MED |
| Practice Address |
146 School Bus Lane Snowflake AZ 85937 |
| Mailing Address |
177 E Meadowlark Snowflake AZ 85937-5116 |
| Practice Telephone | 9285364156 |
| Mailing Telephone | 9282431250 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
86020236 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 86020236 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194952499 | Jackie Hyman Blair | Counselor | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2009-06-15 |
| Street Address |
146 SCHOOL BUS LANE |
| City | SNOWFLAKE |
| State | AZ |
| Zip Code | 85937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275990368 | Traumacare Institute, Pllc | Counselor | 61 West Center Street, Snowflake, AZ 85937 | 2016-01-21 |
| 1659736338 | Michael Shane Luck | Counselor | 61 West Center, Snowflake, AZ 85937 | 2015-12-22 |
| 1093128589 | Mark Porter Caldwell | Physical Therapist | 1788 Prairie Rd, Snowflake, AZ 85937 | 2014-06-03 |
| 1528329331 | Craig Reed West Dds PC | Dentist | 439 South Main, Snowflake, AZ 85937 | 2012-06-07 |
| 1295972651 | C and K Home Furnishings | Durable Medical Equipment & Medical Supplies | 1355 S. Main Street, Snowflake, AZ 85937 | 2009-01-07 |
| 1164575650 | Snowflake Unified School District #5 | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake, AZ 85937 | 2007-01-19 |
| 1225009608 | Larry W Nichols | Family Medicine | 590 S Main St, Snowflake, AZ 85937 | 2006-02-01 |
| 1326123720 | Snowflake School District | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake School District, Snowflake, AZ 85937-0000 | 2006-10-25 |
| 1679710529 | White Mountain Eye Care Center PC | Optometrist | 176 N Main St, Snowflake, AZ 85937-5054 | 2009-01-14 |
| 1659597722 | Connie Kaye Gardner | Occupational Therapist | 205 W F Bar Ln, Snowflake, AZ 85937-5094 | 2007-04-17 |
| Find all providers in zip 85937 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518107010 | Darwin Rawlins | Counselor | 682 W School Bus Ln, Snowflake, AZ 85937-5262 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595707 | Danielle Payne | Counselor | 4145 E Montecito St, Tucson, AZ 85711-4734 | 2019-05-30 |
| 1780135533 | Eva Tomashefski | Counselor | 11011 N 92nd St, #1121, Scottsdale, AZ 85260-6137 | 2016-10-17 |
| 1275905754 | A & G Child Care Center LLC | Counselor | 537 E Racine Pl, Casa Grande, AZ 85122-1611 | 2015-10-23 |
| 1235547654 | Brian Prince | Counselor | 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 | 2014-07-29 |
| 1750703682 | Amber Pedersen | Counselor | 1312 E Hale St, Mesa, AZ 85203-3818 | 2014-01-12 |
| 1023399227 | Sarah Joy Steele | Counselor | 7275 W Vineyard Rd, Laveen, AZ 85339-9805 | 2011-08-31 |
| 1255639902 | Sylvia Nockideneh-tee | Counselor | East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 | 2011-03-04 |
| 1851600597 | Denisse Leon-uribe | Counselor | 3689 W Pageant Pl, Yuma, AZ 85364-3262 | 2010-09-29 |
| 1457689259 | Perla Nora Gonzalez | Counselor | 5832 W Ivanhoe St, Chandler, AZ 85226-1846 | 2009-12-07 |
| 1649508441 | Jennifer Palomares | Counselor | 8706 W Morten Ave, Glendale, AZ 85305-3945 | 2009-12-07 |
| 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.