MRS. MARY COFFEY BLALOCK (NPI# 1932169612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932169612 |
| Entity Type | Individual |
| Full Name | MRS. MARY COFFEY BLALOCK |
| Other Name | MRS. MARY ALICE BLALOCK |
| Credential | OB-GYN NURSE PRACT. |
| Practice Address |
177 New Vale Rd Office of E.h. Perez, Md Newland NC 28657-9198 |
| Mailing Address |
Po Box 245 190 Aaron Church Ln. Montezuma NC 28653-0245 |
| Practice Telephone | 8287330085 |
| Mailing Telephone | 8287333358 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2015-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
0800049 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003349671 | Mary Blalock | Nurse Practitioner | 107 Lake Reserve Way, Holly Springs, GA 30115-4785 | 2017-04-10 |
| Street Address |
177 NEW VALE RD OFFICE OF E.H. PEREZ, MD |
| City | NEWLAND |
| State | NC |
| Zip Code | 28657-9198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918357 | Jennifer Pierce | Dentist | 504 Pineola St., Newland, NC 28657 | 2016-08-31 |
| 1376902791 | County of Avery | Home Delivered Meals | 165 Shultz Circle, Newland, NC 28657 | 2016-02-12 |
| 1396048401 | James Royce Lehmann | Physical Therapist | 232 Sam Brewer Rd, Newland, NC 28657 | 2010-12-10 |
| 1598963688 | Linville-central Rescue Squad, Inc. | Emergency Medical Technician, Paramedic | 1940 Linville Falls Highway, Newland, NC 28657 | 2007-07-10 |
| 1699805739 | Avery County Department of Social Services | Social Worker | 175 Linville St., Newland, NC 28657 | 2007-03-07 |
| 1417095670 | Raymomd William Kenyon | Counselor | 180 Longview Rd., Newland, NC 28657 | 2007-02-01 |
| 1043370166 | Medical Services of America, Inc | Hospice Care, Community Based | 1955 Newland Hwy, Newland, NC 28657 | 2006-12-11 |
| 1629137773 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 325 Pineola St, Newland, NC 28657 | 2006-12-06 |
| 1225110505 | Jonathan Ashley Lindsey | Dentist | 1632 Millers Gap Hwy, Newland, NC 28657 | 2006-10-19 |
| 1356449797 | Carter William Wiseman | Dentist | 330 Linville St, Newland, NC 28657 | 2006-09-20 |
| Find all providers in zip 28657 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
| 1376610022 | Deborah Shamberger Barrett | Nurse Practitioner | 705 Pinehurst Ave, Moore County Health Department, Carthage, NC 28327-0279 | 2006-11-29 |
| 1922106426 | Wanda A Fuschino | Nurse Practitioner | 349 Penny Ln Ne, Concord, NC 28025-1221 | 2006-09-20 |
| 1699879239 | Bertha Lee Hendrix | Nurse Practitioner | 227 Fountainhead Ln, Fayetteville, NC 28301-5417 | 2006-09-12 |
| 1679508253 | Angela M Walling | Nurse Practitioner | 3 Regional Cir Ste B, Pinehurst, NC 28374-9796 | 2006-07-11 |
| 1467415752 | Paula Thum | Nurse Practitioner | 1998 Hendersonville Rd, Suite 31, Asheville, NC 28803-2349 | 2006-04-08 |
| 1336144518 | Victoria Edwards Smith | Nurse Practitioner | 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422-7582 | 2005-06-15 |
| 1790788024 | Donna White Bass | Nurse Practitioner | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2005-05-31 |
| 1003431404 | Rhonda Mann Lovvorn | Nurse Practitioner | 700 Tilghman Dr, Dunn, NC 28334-0007 | 2020-06-11 |
| 1477191211 | Cara Marie Haire | Nurse Practitioner | 413 Owen Dr, Fayetteville, NC 28304-3489 | 2019-12-11 |
| 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.