KIRSTINE A. BLACKSHEAR (NPI# 1841269313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841269313 |
| Entity Type | Individual |
| Full Name | KIRSTINE A. BLACKSHEAR |
| Credential | PA-C |
| Practice Address |
1209 N Miller Rd Buckeye AZ 85326-1043 |
| Mailing Address |
9250 N 3rd St Suite 4010 Phoenix AZ 85020-2437 |
| Practice Telephone | 6233865785 |
| Practice Fax Number | 6233866673 |
| Mailing Telephone | 6026333848 |
| Mailing Fax Number | 6026333841 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2010-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2967 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA | MB1101942 | 01 |
| Street Address |
1209 N MILLER RD |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85326-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779250 | Matthew Duke | Family Medicine | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2006-02-14 |
| 1457780306 | Debbie Lynn Davis | Nurse Practitioner | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2013-11-01 |
| 1992934186 | Brandon Arnold Marschman | Physical Therapist | 1209 N Miller Rd, Suite B, Buckeye, AZ 85326-1043 | 2009-07-08 |
| 1922295831 | Carey M Tucker | Physician Assistant | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2007-09-25 |
| 1346464195 | Eufemio Contreras Polanco | Physician Assistant | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609225 | Dawn Vetro | Social Worker | 26428 Mc 85, Buckeye, AZ 85326 | 2020-05-06 |
| 1952959942 | Nicole Garcia | Physical Therapy Assistant | 19818 Mc 85, Buckeye, AZ 85326 | 2019-09-03 |
| 1790269256 | Pathbuilders Counseling Services, Inc | Marriage & Family Therapist | 1300 N. Miller Road, Buckeye, AZ 85326 | 2018-09-20 |
| 1912422924 | City of Buckeye | Emergency Medical Technician, Paramedic | 21699 W. Yuma Rd., Ste. 101, Buckeye, AZ 85326 | 2017-08-10 |
| 1548785884 | Az Comfort Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23832 W Tonto Street, Buckeye, AZ 85326 | 2017-08-08 |
| 1992227300 | Elias Linn IIi | Pharmacist | 1060 S. Watson Rd, Buckeye, AZ 85326 | 2017-07-07 |
| 1568903490 | Nicole Johnson | Nurse Practitioner | 26700 Az-85, Buckeye, AZ 85326 | 2017-03-10 |
| 1235675950 | Michael Coronado | Specialist/Technologist | 19584 W Lincoln St, Buckeye, AZ 85326 | 2017-01-19 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1992187124 | Anita Morgan | Social Worker | 389 S 228th Lane, Buckeye, AZ 85326 | 2015-06-24 |
| Find all providers in zip 85326 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336160878 | Matthew D Sweeney | Physician Assistant | 1300 S Watson Rd # A104, Buckeye, AZ 85326-6303 | 2006-07-21 |
| 1790785038 | Ronald Fergison | Physician Assistant | 1315 E Ash Ave, Buckeye, AZ 85326-2205 | 2005-07-28 |
| 1205099694 | Valarie L. Monico | Physician Assistant | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2008-07-07 |
| 1215077110 | Rechelle R Hall | Physician Assistant | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1194343897 | Alyssa Kay Poland | Physician Assistant | 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 | 2020-07-08 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
| 1285273987 | Jaclyn Marie Schroeder | Physician Assistant | 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 | 2019-12-27 |
| 1396388062 | Morgan Taylor Beckwith | Physician Assistant | 2128 Senita Dr, Lake Havasu City, AZ 86403-5756 | 2019-10-24 |
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1871155143 | Terry Craven Wood | Physician Assistant | 7645 W Donald Dr, Peoria, AZ 85383-3142 | 2019-07-08 |
| 1720548753 | Alexis D Elliott | Physician Assistant | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 | 2019-03-25 |
| 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.