Active NPI
Lisa Blair, RDH
- Dental Hygienist
- Richland, WA
National Provider Identifier
1174828495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5965
- Practice address
- 343 Wellsian Way
Suite 103
Richland, WA 99352-4107 - Phone
- (509) 967-5344
- Fax
- (509) 943-9020
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5965 | WA | Primary |
Addresses
Primary practice location
343 Wellsian Way
Suite 103
Richland, WA 99352-4107
Mailing address
343 Wellsian Way
Suite 103
Richland, WA 99352-4107
Phone (509) 967-5344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5965 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1174828495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 WELLSIAN WAY",
"address_2": "SUITE 103",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524107",
"telephone_number": "509-967-5344",
"fax_number": "509-943-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 WELLSIAN WAY",
"address_2": "SUITE 103",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524107",
"telephone_number": "509-967-5344",
"fax_number": "509-943-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "5965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.