MS. MILDRED A BLANDAMER (NPI# 1932420239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932420239 |
| Entity Type | Individual |
| Full Name | MS. MILDRED A BLANDAMER |
| Other Name | MS. MILDRED (MIDGE) A BLANDAMER |
| Credential | CRNP |
| Practice Address |
10 Bemiston Ave Talladega AL 35160-3290 |
| Mailing Address |
5750a Southland Dr Mobile AL 36693-3316 |
| Practice Telephone | 2563628600 |
| Mailing Telephone | 2516627316 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN147204 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-098488 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN147204 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
1-098488 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1661 Old Birmingham Hwy, Sylacauga, AL 351508334 | 2562452201 | |
| 351 W 3rd St, Sylacauga, AL 351501907 | 2562452201 | |
| 706 Main St, Roanoke, AL 362741402 | 3347775920 | |
| 88217 Highway 9, Lineville, AL 36266 | 2564870150 |
| Street Address |
10 BEMISTON AVE |
| City | TALLADEGA |
| State | AL |
| Zip Code | 35160-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306314943 | Amanda Twilley Snyder | Counselor | 10 Bemiston Ave, Talladega, AL 35160-3290 | 2018-11-12 |
| 1902143514 | Holli Casey | Social Worker | 10 Bemiston Ave, Talladega, AL 35160-3290 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719729 | Fci Talladega | Clinic/Center | 565 E. Renfroe Road, Telladega, AL 35160 | 2020-10-30 |
| 1689206740 | Robert Heuermann Md LLC | Surgery | 107 Patty Lane, Talladega, AL 35160 | 2020-02-06 |
| 1235799404 | Rehab and Wellness Clinic, LLC | Pain Medicine | 129 Stephen J White Blvd, Talladega, AL 35160 | 2019-06-19 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1780119073 | Rural Urgent Care LLC | Clinic/Center | 837 E Battle St, Talladega, AL 35160 | 2017-04-25 |
| 1750511432 | Uninibile O Odama | Internal Medicine | 210 North Street W, Suite D, Landmark Nephrology and Hypertension Clinic, Talladega, AL 35160 | 2009-07-16 |
| 1477708857 | Island Medical Troy Alabama LLC | Emergency Medicine | 604 Stone Avenue, Talladega, AL 35160 | 2008-11-26 |
| 1023284676 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 805 North Street East, Talladega, AL 35160 | 2008-05-05 |
| 1942496575 | Renal Treatment Centers Southeast Lp | Clinic/Center | 726 Battle St E, Ste A, Talladega, AL 35160 | 2007-09-18 |
| Find all providers in zip 35160 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
| 1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
| 1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
| 1316565336 | Alisha Hamidian | Nurse Practitioner | 1229 County Road 512, Valley Head, AL 35989-4926 | 2020-07-07 |
| 1003437880 | Kathryn Nicole Logan | Nurse Practitioner | 183 Little Doe Ln, Wetumpka, AL 36093-3093 | 2020-05-02 |
| 1831740729 | Chloe J Law | Nurse Practitioner | 3000 Southlake Park Ste 1000, Hoover, AL 35244-3293 | 2019-09-23 |
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1861965493 | Taylor Barrett | Nurse Practitioner | 740 Forrest Ave, Gadsden, AL 35901-3639 | 2019-01-07 |
| 1942776695 | Brittany Ellen Kesten | Nurse Practitioner | 185 Whitesport Dr Sw Ste 5, Huntsville, AL 35801-6487 | 2018-10-21 |
| 1295217198 | Latisha Ali | Nurse Practitioner | 3000 Riverchase Galleria Ste 500, Hoover, AL 35244-2365 | 2018-09-06 |
| 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.