MRS. DARLA LYNN BLACKBOURN (NPI# 1356564793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356564793 |
| Entity Type | Individual |
| Full Name | MRS. DARLA LYNN BLACKBOURN |
| Credential | DTV |
| Practice Address |
245 W Exchange St Ste 4 Sycamore IL 60178-1495 |
| Practice Telephone | 8157625129 |
| Mailing Telephone | 8157625129 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | DM02390599P | IL | Other Service Providers |
| Street Address |
245 W EXCHANGE ST STE 4 |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831371756 | Diane Marie Tyrrell | Developmental Therapist | 245 W Exchange St Ste 4, Sycamore, IL 60178-1495 | 2007-12-03 |
| 1649484882 | Carol L Johnson | Developmental Therapist | 245 W Exchange St Ste 4, Sycamore, IL 60178-1495 | 2007-05-09 |
| 1871707802 | Pamela Lucille Miller | Developmental Therapist | 245 W Exchange St Ste 4, Sycamore, IL 60178-1495 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114983798 | Vasantha L Gona | Specialist | 2128 Midlands Ct, Suite 106, Sycamore, IL 60178-3199 | 2006-04-24 |
| 1023017019 | Paul H Nguyen | Specialist | 2550 Hauser Ross Drive, Suite 325, Sycamore, IL 60178-3180 | 2005-07-20 |
| 1396161576 | Sarah Carlson | Specialist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2014-03-11 |
| 1972845592 | Constance Balles | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2013-03-21 |
| 1225370851 | Angela Sisson | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2013-03-21 |
| 1700135274 | Nicholas Helton | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2012-08-30 |
| 1083862452 | Kindred Thc Chicago, LLC | Specialist | 225 Edward St, Sycamore, IL 60178 | 2008-08-28 |
| 1326165895 | Universal Sleep & Attention Center | Specialist | 954 W State St, Sycamore, IL 60178-1335 | 2007-03-22 |
| 1851431514 | Anita Nelson Niehues | Specialist | 245 W Exchange St, Suite 4, Sycamore, IL 60178-1495 | 2007-02-08 |
| 1639267081 | Kishwaukee Cardiology Associates, Ltd. | Specialist | 2530 Hauser Ross Dr, Sycamore, IL 60178-3162 | 2006-10-11 |
| Find all providers in SYCAMORE | ||||
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| 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.