Blaine Cordova

Primary specialty

CounselorTaxonomy code 101Y00000X

License

39578 Issued in TX

Practice address

26010 Oak Ridge Dr Ste 107
Spring, TX 77380-1972

Phone

(281) 815-0899

NPI assigned

Nov 7, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Graciela F Reyes-McDonald

  • School Psychologist
  • The Woodlands, TX
  • NPI 1336542810
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1124736434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13824 WINDING PATH LN",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773781005",
            "telephone_number": "713-870-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26010 OAK RIDGE DR STE 107",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801972",
            "telephone_number": "281-815-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "BLAINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "39578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Corbin, LSA
• Melinda Marie Corcoran, MS, RD, LD
• Rose Cordellos, CPHT
• Juliette Cordero Argote, APRN-CNP
• Nicole Marie Cordero Lugo
• Jessica N Cordova, B.C.B.A.
• Core Diagnostics LLC
• Core Health Solutions LLC
• Wendy Coreas Melendez
• Betty Coriolan

• Counselor in Spring, TX
• Providers in Spring, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.