BREANNA BLACKSTONE (NPI# 1124406418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124406418 |
| Entity Type | Individual |
| Full Name | BREANNA BLACKSTONE |
| Practice Address |
7016 W 300 S Morgantown IN 46160-9691 |
| Practice Telephone | 7658945116 |
| Mailing Telephone | 7658945116 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7016 W 300 S |
| City | MORGANTOWN |
| State | IN |
| Zip Code | 46160-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316169857 | Major Hospital | Skilled Nursing Facility | 140 West Washington St, Morgantown, IN 46160 | 2007-05-03 |
| 1922041169 | Lynda Gean Sandow | Psychologist | 1949 E South Shore Dr, Morgantown, IN 46160-8615 | 2006-06-14 |
| 1467505081 | Leesa Kae Olds | Speech-Language Pathologist | 176 Cardinal Dr, Morgantown, IN 46160-8776 | 2007-01-18 |
| 1871777623 | Jennifer Lee Wright | Occupational Therapist | 7856 N Lasalle Rd, Morgantown, IN 46160-9120 | 2007-12-28 |
| 1336392919 | Douglas Andrew Darbro | Family Medicine | 5693 S Bear Wallow Rd, Suite 100, Morgantown, IN 46160-9315 | 2008-10-28 |
| 1922160779 | Jane Jean | Specialist | 6995 N Carmel Ridge Rd, Morgantown, IN 46160-9487 | 2006-12-15 |
| 1306895396 | Transitional Services, Inc | Intermediate Care Facility, Mentally Retarded | 369 W Washington St, Morgantown, IN 46160-9541 | 2006-05-08 |
| 1750377057 | Michelle Marie Hunter | Nurse Practitioner | 349 W Washington St, Morgantown, IN 46160-9541 | 2005-09-22 |
| 1669631941 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 369 W Washington St, Morgantown, IN 46160-9541 | 2008-06-03 |
| 1013066455 | Barbara E Jones | Specialist | 4788 S Lick Creek Rd, Morgantown, IN 46160-9598 | 2007-01-08 |
| Find all providers in zip 46160 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358149 | Jamara Washington | Student in an Organized Health Care Education/Training Program | 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 | 2020-08-30 |
| 1275146540 | Virginia Fay Honaker | Student in an Organized Health Care Education/Training Program | 5000 Station St Apt 1012, Morgantown, WV 26508-7442 | 2020-08-26 |
| 1487282554 | Michael Joseph Dugan IIi | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 1200, Morgantown, WV 26505-3409 | 2020-04-01 |
| 1295363646 | Catherine Maxine Powers | Student in an Organized Health Care Education/Training Program | 385 Dorsey Ave, Morgantown, WV 26501-6460 | 2020-03-31 |
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1679100127 | Joshua James Hurley | Student in an Organized Health Care Education/Training Program | 17 Van Gilder St, Morgantown, WV 26505-1760 | 2020-03-25 |
| 1629605399 | Rehab Othman Mohamed | Student in an Organized Health Care Education/Training Program | 206 Carmell Ct, Morgantown, WV 26505-7801 | 2020-03-24 |
| 1427684471 | Ameneh Zare Shahabadi | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Fl 5, Morgantown, WV 26506-1200 | 2020-03-20 |
| 1831725985 | Ion Prisneac | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 4601, Morgantown, WV 26505-3409 | 2020-03-20 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 46160 |
Please comment or provide details below to improve the information on BREANNA BLACKSTONE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.