Rebecca Blair, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

220545 Issued in CA

Practice address

3467 W Shaw Ave
Suite # 102
Fresno, CA 93711-3223

Phone

(559) 274-0456

NPI assigned

Aug 18, 2009

Last updated

Aug 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Buckert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1801028238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 HAMPTON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115127",
            "telephone_number": "559-283-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 W SHAW AVE",
            "address_2": "SUITE # 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113223",
            "telephone_number": "559-274-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "REBECCA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "220545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BUCKERT",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Asha Blades, DPM
• Blair Marriage and Family Therapy, Inc. (Alpha Behavioral Counseling Center)
• Donna Jeannette Blair, DDS
• Katrina Laschelle Blair
• Narine Muradyan Blair
• Vincent Blair, LMFT, RAS
• Blake Scott, D.D.S. and Lindsey Scott, D.D.S., Inc.
• Brian William Blake, M.D.
• Erin Alison Blake, MD
• Paetyn Blakely

• Licensed Vocational Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.