GENERRA BLAKE (NPI# 1902452782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902452782 |
| Entity Type | Individual |
| Full Name | GENERRA BLAKE |
| Practice Address |
735 S 200 W Ste 1 Blanding UT 84511-3923 |
| Practice Telephone | 4356782992 |
| Practice Fax Number | 4356783116 |
| Mailing Telephone | 4356782992 |
| Mailing Fax Number | 4356783116 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
735 S 200 W STE 1 |
| City | BLANDING |
| State | UT |
| Zip Code | 84511-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063920221 | Dominique Sherrow | Technician, Other | 735 S 200 W Ste 1, Blanding, UT 84511-3909 | 2018-01-22 |
| 1174120034 | Samantha Johnson | Case Manager/Care Coordinator | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-10-05 |
| 1871106971 | Kelly Lynn Becenti | Social Worker | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-08-28 |
| 1710503818 | Sharon Ann Williams | Licensed Practical Nurse | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-06-24 |
| 1164048708 | Parker Palmer | Case Manager/Care Coordinator | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-06-19 |
| 1922629658 | Jamie Meyer | Case Manager/Care Coordinator | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-05-05 |
| 1104455294 | Michael Larson | Case Manager/Care Coordinator | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-04-02 |
| 1316577653 | Cherish Harvey | Social Worker | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-01-24 |
| 1881245348 | Emma Nicole Melo Black | Social Worker | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2019-09-26 |
| 1376191296 | Emmy Patterson | Registered Nurse | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996278 | Acorn Care LLC | In Home Supportive Care | 1121 N Grayson Parkway, Blanding, UT 84511 | 2020-09-11 |
| 1659850832 | Guardian Flight LLC | Ambulance | 212 West Freedom Way, Blanding, UT 84511 | 2018-08-09 |
| 1275050353 | San Juan Public Health Special Service District | Preventive Medicine | 735 South 200 West, Suite B, Blanding, UT 84511 | 2017-08-29 |
| 1710393830 | Kristine Beaver | Clinical Nurse Specialist | 730 East 500 South, Blanding, UT 84511 | 2014-07-09 |
| 1558513812 | Blue Mountain Hospital | Medicare Defined Swing Bed Unit | 802 S 200 West, Suite A, Blanding, UT 84511 | 2008-10-17 |
| 1588847909 | Sterling Black, LLC | Chiropractor | 792 S Main St., Blanding, UT 84511 | 2007-12-07 |
| 1740318401 | Utah Navajo Health System, Incorporated | Family Medicine | #2 Rainbow Road, Navajo Mountain, UT 84511 | 2007-03-02 |
| 1114002151 | Anna M Day | Family Medicine | 799 So 200 W, Blanding, UT 84511 | 2006-10-26 |
| 1235214289 | Kimberly Fairley | Family Medicine | Box 130 E Hwy 262, Montezuma Creek, UT 84511 | 2006-10-26 |
| 1699725747 | Sterling Black | Chiropractor | 792 S. Main St., Blanding, UT 84511 | 2006-05-11 |
| Find all providers in zip 84511 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997134 | Travis Black | Counselor | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1114526654 | Nancie Ann Silva-dahl | Counselor | 1422 S Barley Dr, Spanish Fork, UT 84660-6105 | 2020-10-24 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1174138143 | Balance Counseling, Pllc | Counselor | 802 E Bamberger Dr, American Fork, UT 84003-2184 | 2020-09-15 |
| 1184239337 | Dara Larsen | Counselor | 923 S River Rd Ste 204, Saint George, UT 84790-2288 | 2020-09-14 |
| 1851905939 | Brenda Somers | Counselor | 564 Cross St, Ogden, UT 84404-5071 | 2020-09-04 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1932710837 | Amanda Kathleen Blume | Counselor | 84 W 4800 S Ste 100, Murray, UT 84107-3781 | 2020-08-13 |
| 1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
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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.