NPI 1255530838 · live from the CMS NPI Registry
Rebecca Jean Blatt
General Practice in Thornton, CO. National Provider Identifier 1255530838, active.
NPI record
| NPI | 1255530838 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 9191 Grant St., Thornton, CO 80229 |
| Practice phone | 303-450-4482 |
| Mailing address | Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125 |
| Enumerated | July 13, 2007 |
| Last updated | May 10, 2024 |
| Sole proprietor | No |
| Other names | Rebecca Blatt |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 48616 (CT) |
| Emergency Medicine | 207P00000X | MD2018-0017 (NM) |
| Emergency Medicine | 207P00000X | DR.0049804 (CO) |
| Preventive Medicine, Occupational Medicine | 2083X0100X | DR.0049804 (CO) |
| General Practice primary | 208D00000X | DR.0049804 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.