MRS. KAREN R BLACKBURN (NPI# 1467740779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467740779 |
| Entity Type | Individual |
| Full Name | MRS. KAREN R BLACKBURN |
| Practice Address |
122 1st Ave Suite 201 Fairbanks AK 99701-4803 |
| Practice Telephone | 9074526434 |
| Practice Fax Number | 9074576598 |
| Mailing Telephone | 9074526434 |
| Mailing Fax Number | 9074576598 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725605 | Karen K Blackburn | Physical Therapist | 2850 Holcomb Bridge Rd Ste 140a, Alpharetta, GA 30022-1658 | 2020-03-12 |
| 1659842482 | Karen Dorothy Blackburn | Speech-Language Pathologist | 1020 New Holland Ave, Lancaster, PA 17601-5606 | 2018-12-05 |
| 1396062956 | Karen Leigh Blackburn | Obstetrics & Gynecology | 4001 Brandywine St Nw Ste 300, Washington, DC 20016 | 2010-04-22 |
| 1336303825 | Karen Foster Blackburn | Nurse Practitioner | 141 Piedmont Ave Ne Ste D, Atlanta, GA 30303-2417 | 2008-07-14 |
| 1992989511 | Karen Ann Blackburn | Specialist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2007-12-18 |
| 1093828519 | Karen N Blackburn | Physician Assistant | 9211 E 21st St N, Wichita, KS 67206-2900 | 2006-08-17 |
| Street Address |
122 1ST AVE SUITE 201 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359323 | Kathleen Hodges | Social Worker | 122 1st Ave, Fairbanks, AK 99701-4803 | 2005-10-06 |
| 1447801857 | John Gerald Mayo | Counselor | 122 1st Ave, Fairbanks, AK 99701-4871 | 2019-09-26 |
| 1619227246 | Qwynten Richards | Counselor | 122 1st Ave, Suite 400, Fairbanks, AK 99701-4803 | 2012-09-11 |
| 1750639449 | Sandra Mccafferty | Community Health Worker | 122 1st Ave, Suie 600, Fairbanks, AK 99701-4803 | 2012-08-28 |
| 1407104169 | Alfred Stevens | Counselor | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2012-08-28 |
| 1710234877 | Michael James Demoski | Dental Assistant | 122 1st Ave, 600, Fairbanks, AK 99701-4803 | 2012-08-08 |
| 1023365186 | Debra Ann Dayton | Dental Assistant | 122 1st Ave, 600, Fairbanks, AK 99701-4803 | 2012-08-08 |
| 1699021600 | Mary Beth Morrison | Case Manager/Care Coordinator | 122 1st Ave, 4th Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| 1598011512 | Jennie Lynn Mclean | Case Manager/Care Coordinator | 122 1st Ave, Fourth Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| 1497001416 | Pearl J Gould | Case Manager/Care Coordinator | 122 1st Ave, Fourth Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881852663 | Morning Star Ranch | Day Training, Developmentally Disabled Services | 2757 College Rd, Fairbanks, AK 99709-3751 | 2008-05-28 |
| 1346466802 | Adult Learning Programs of Alaska | Day Training, Developmentally Disabled Services | 122 1st Ave Ste 201, Fairbanks, AK 99701-4871 | 2007-04-17 |
| 1538715164 | Branching Out Supported Services LLC | Day Training, Developmentally Disabled Services | 1584 Hilton Ave, Fairbanks, AK 99701-4016 | 2019-08-09 |
| 1366919409 | Blooming Hearts LLC | Day Training, Developmentally Disabled Services | 201 Old Steese Hwy Ste 5, Fairbanks, AK 99701-3160 | 2018-10-26 |
| 1497069892 | Emilianne Lansdown | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 201, Fairbanks, AK 99701-4803 | 2010-07-28 |
| 1700199601 | Pauline Eva Rodriguez | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 201, Fairbanks, AK 99701-4803 | 2010-07-20 |
| 1528391240 | Adult Learning Programs of Alaska | Day Training, Developmentally Disabled Services | 122 1st Ave, Fairbanks, AK 99701-4803 | 2009-09-14 |
| 1043469349 | Tanana Chiefs Conference | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 600 Client Development, Fairbanks, AK 99701-4803 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282030 | Florence L Achwil | Day Training, Developmentally Disabled Services | 4423 E 6th Ave, Anchorage, AK 99508-2226 | 2020-07-21 |
| 1740843457 | Fe's Assisted Living Home | Day Training, Developmentally Disabled Services | 1841 E 57th Ave, Anchorage, AK 99507-1901 | 2019-04-18 |
| 1619432937 | Alaskan Red Assisted Living LLC | Day Training, Developmentally Disabled Services | 6291 Gross Dr, Anchorage, AK 99507-2059 | 2019-02-01 |
| 1184118366 | Clouds Rest Commons Inc | Day Training, Developmentally Disabled Services | 5772 E Morning Mist Dr, Palmer, AK 99645-9186 | 2018-06-20 |
| 1396243663 | Fritz Miller | Day Training, Developmentally Disabled Services | 43850 Ross Dr, Soldotna, AK 99669-6809 | 2018-01-31 |
| 1760902803 | Discovery Living LLC | Day Training, Developmentally Disabled Services | 16845 Eleonora St, Eagle River, AK 99577-7614 | 2017-06-20 |
| 1346633922 | Golden Hearts, Inc. | Day Training, Developmentally Disabled Services | 6401 Blackberry St, Anchorage, AK 99502-2135 | 2015-03-06 |
| 1639570203 | J&j Independent Living, LLC | Day Training, Developmentally Disabled Services | 165 E. Parks Hwy, Suite 106, Wasilla, AK 99654-3909 | 2014-09-14 |
| 1184047292 | Mountainside Assisted Living Home | Day Training, Developmentally Disabled Services | 633 5th St, Douglas, AK 99824-5512 | 2014-01-24 |
| 1427354570 | Hope Community Resources, Inc. | Day Training, Developmentally Disabled Services | 8918 Juliana St, Anchorage, AK 99502-5563 | 2011-02-08 |
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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.