Jimmy Burt Blagg, HIS, HAD

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

0832 Issued in NM

Practice address

8400 Menaul Blvd NE
Suite F
Albuquerque, NM 87112-2260

Phone

(505) 299-7777

Fax

(505) 299-7777

NPI assigned

Jun 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1932546728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 MENAUL BLVD NE",
            "address_2": "SUITE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122260",
            "telephone_number": "505-299-7777",
            "fax_number": "505-299-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 MENAUL BLVD NE",
            "address_2": "SUITE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122260",
            "telephone_number": "505-299-7777",
            "fax_number": "505-299-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGG",
        "first_name": "JIMMY",
        "middle_name": "BURT",
        "name_prefix": "Mr.",
        "credential": "HIS, HAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NM",
            "license": "0832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Ann Blackwell, MS
• Robin L Blackwell, LISW
• Sarah Blackwell, LCSW
• Scott L Blackwell, PHD
• Daniel Kyle Blackwood, LPCC
• Jack Colt Blaine, CRNA
• Lyndel Blaine, COTA
• Savannah Nevaeh Blair Perea
• Susan Gay Blair-Buckley, PA-C
• Emily Blair, D.C.

• All providers in Albuquerque, NM
• Hearing Instrument Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.