Active NPI
Ann Marie Blazich, RN
- Registered Nurse
- Auburn, WA
National Provider Identifier
1184896268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00115346
- Practice address
- 29306 45TH PL So
Auburn, WA 98001 - Phone
- (206) 653-7915
- Fax
- (206) 653-7915
- NPI assigned
- Mar 28, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00115346 | WA | Primary |
Addresses
Primary practice location
29306 45TH PL So
Auburn, WA 98001
Mailing address
29306 45TH PL So
Auburn, WA 98001
Phone (206) 653-7915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34571227 | Other | DSHS CONTRACT NUMBER |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00115346 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1184896268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29306 45TH PL SO",
"city": "AUBURN",
"state": "WA",
"postal_code": "98001",
"telephone_number": "206-653-7915",
"fax_number": "206-653-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29306 45TH PL SO",
"city": "AUBURN",
"state": "WA",
"postal_code": "98001",
"telephone_number": "206-653-7915",
"fax_number": "206-653-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZICH",
"first_name": "ANN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00115346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS CONTRACT NUMBER",
"identifier": "34571227",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.