CHAD B BLACKBURN (NPI# 1427509009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427509009 |
| Entity Type | Individual |
| Full Name | CHAD B BLACKBURN |
| Credential | HIS |
| Practice Address |
106 W 27th St Scottsbluff NE 69361-4304 |
| Mailing Address |
Po Box 238 Scottsbluff NE 69363-0238 |
| Practice Telephone | 3086325633 |
| Practice Fax Number | 3086325939 |
| Mailing Telephone | 3086325633 |
| Mailing Fax Number | 3086325939 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237700000X | Hearing Instrument Specialist | HAD8556 | AZ | Speech, Language and Hearing Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | 800 | NE | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | 189 | WY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 237700000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571363 | Chad L Blackburn | Dentist | 4232 Saint Claude Ave, New Orleans, LA 70117-5339 | 2019-04-23 |
| Street Address |
106 W 27TH ST |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356892939 | Ronald Lyle Miller | Hearing Instrument Specialist | 106 W 27th St, Scottsbluff, NE 69361-4304 | 2016-10-19 |
| 1578193785 | Annette Frerichs | Hearing Instrument Specialist | 106 W 27th St, Scottsbluff, NE 69361-4304 | 2020-01-16 |
| 1457802936 | Kay L Miller | Hearing Instrument Specialist | 106 W 27th St, Scottsbluff, NE 69361-4304 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356892939 | Ronald Lyle Miller | Hearing Instrument Specialist | 106 W 27th St, Scottsbluff, NE 69361-4304 | 2016-10-19 |
| 1023462421 | Ryan Massey | Hearing Instrument Specialist | 2 W 42nd St Ste 1100, Scottsbluff, NE 69361-4610 | 2016-04-21 |
| 1699801332 | Millers Hearing Aid Centers Inc | Hearing Instrument Specialist | 222 W 27th Street, Scottsbluff, NE 69361 | 2007-02-26 |
| 1578193785 | Annette Frerichs | Hearing Instrument Specialist | 106 W 27th St, Scottsbluff, NE 69361-4304 | 2020-01-16 |
| 1679110829 | Sherard Audiology LLC | Hearing Instrument Specialist | 2821 Avenue B, Scottsbluff, NE 69361-4370 | 2019-12-06 |
| 1558874370 | Robert Eugene Sherard | Hearing Instrument Specialist | 2821 Avenue B, Scottsbluff, NE 69361-4370 | 2017-11-15 |
| 1457802936 | Kay L Miller | Hearing Instrument Specialist | 106 W 27th St, Scottsbluff, NE 69361-4304 | 2016-10-19 |
| 1134490154 | Tyne Elizabeth Largo | Hearing Instrument Specialist | 2821 Avenue B, Scottsbluff, NE 69361-4370 | 2012-01-23 |
| 1578854691 | Wendy Rae Juarez | Hearing Instrument Specialist | 2821 Avenue B, Scottsbluff, NE 69361-4370 | 2011-04-23 |
| 1104117225 | Floyd Stanley Sherard | Hearing Instrument Specialist | 2821 Avenue B, Scottsbluff, NE 69361-4370 | 2011-04-23 |
| Find all providers in SCOTTSBLUFF | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
Please comment or provide details below to improve the information on CHAD B BLACKBURN.
| 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.