Mindy L Blaski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G36982 Issued in CA

Practice address

3216 NE 45TH PL Ste 106
Seattle, WA 98105-4028

Phone

(206) 526-0210

Fax

(206) 526-0221

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1659466969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 26TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123043",
            "telephone_number": "206-850-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 NE 45TH PL STE 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054028",
            "telephone_number": "206-526-0210",
            "fax_number": "206-526-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASKI",
        "first_name": "MINDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "MD00018121",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G36982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689405",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen K Blankenship, MA
• Stephanie Cate Blanshan, ARNP
• Maximillian Sol Blanter, M.D.
• Logan McRae Blanton, MPT
• Laura Blasi, RD
• John C Blasko, M.D.
• Vicki Blaszkiewicz
• John T. Blatchford, LICSW, LMHC
• Carl Anthony Blau, MD
• Ellen M. Blau, PH.D.

• Family Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.