Deborah Blazzard, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Pullman, WA
NPI 1659639854 · NPPES record last updated Jul 9, 2025
Key facts
- NPI
- 1659639854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP60438303 (WA)
- Practice address
- 825 SE Bishop Blvd Ste 201
Pullman, WA 99163-5517 - Phone
- (509) 339-2394
- Fax
- (509) 715-2128
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Public Hospital District 1-a of Whitman County
Practice addresses (Care Compare)
825 SE Bishop Blvd
Pullman, WA 99163-5517
835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541
Hospital & facility affiliations
- Pullman Regional Hospital
- Gritman Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140718002010 | WA | Practitioner - Nurse Practitioner | 6709002256 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-1155A | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP60438303 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District #1-a of Whitman County | Current |
Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Current |
Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Public Hospital District # 1-a | Past | Accepting new patients |
Locations
1420 S Blaine St
Ste 5
Moscow, ID 83843
Phone (208) 882-2247
825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498
840 SE Bishop Blvd
Ste 101
Pullman, WA 99163
Phone (509) 332-6139
825 SE Bishop Blvd
Ste 401
Pullman, WA 99163
Phone (509) 336-7720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP-1155A | ID | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60438303 | WA | Yes |
Addresses
Primary practice location
825 SE Bishop Blvd Ste 201
Pullman, WA 99163-5517
Mailing address
840 SE Bishop Blvd
Suite 101
Pullman, WA 99163-5502
Phone (509) 332-6139
Other providers in Pullman, WA
- Andrea Megan Berry
- Julian Jason Bilger
- Jessica Joy Billings
- Jason Lee Blackham
- Logan Blair
- Todd B Bledsoe
- Kevin Blume
- Caitlyn Louise Blumenshein
- Lori W Bobo
- Anikka Boggess
All providers in Pullman, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.