Tri'NA Elisa Blackshear

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4254 Elm St
Marianna, FL 32448-4210

Phone

(850) 272-8099

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2012.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1083961775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 ELM ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484210",
            "telephone_number": "850-272-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 ELM ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484210",
            "telephone_number": "850-272-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHEAR",
        "first_name": "TRI'NA",
        "middle_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Bennett, D.C.
• Patricia Green Besczezynski, M.S., L.M.H.C.
• Bio-Medical Applications of Florida, Inc.
• Caroline Bishop
• Bittern Emergency Physicians, LLC
• Angela Nacole Blount, APRN
• Christopher Michael Bolen, D.P.T.
• Daniel E Bontrager, DC
• Reuben Bontrager, LMT.
• Doyle Lon Bosse, M.D.

• All providers in Marianna, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.