BONNIE BLACKBURN


Address: 1401 St Joseph Pkwy Bldg 1106a, Houston, TX 77002-8301
Phone: 7137568374

BONNIE BLACKBURN (NPI# 1649775131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649775131
Entity Type Individual
Full Name BONNIE BLACKBURN
Practice Address 1401 St Joseph Pkwy Bldg 1106a
Houston
TX 77002-8301
Practice Telephone 7137568374
Enumeration Date 2018-03-27
Last Update Date 2018-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers BONNIE BLACKBURN

NPI Name Taxonomy Address Enumeration
1386270908 Bonnie Lynn Blackburn Physician Assistant 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 2020-03-15

Office Location

Street Address 1401 ST JOSEPH PKWY BLDG 1106A
City HOUSTON
State TX
Zip Code 77002-8301

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487273 Victoria Ann Petruzzi Obstetrics & Gynecology 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 2020-05-04
1578182226 Quinn Adams Rhodes Student in an Organized Health Care Education/Training Program 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 2020-04-13
1508420563 Ines Tamzali Student in an Organized Health Care Education/Training Program 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 2019-04-25
1487163093 Mary Janella Blakey Home Health 500 Crawford St. Apt 344, Houston, TX 77002 2017-09-26
1306365374 Vanability, LLC Non-emergency Medical Transport (VAN) 700 Louisiana St. Suite 3950, Houston, TX 77002 2017-09-11
1720518509 Cara Adele Hankins Student in an Organized Health Care Education/Training Program 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 2017-06-14
1518414044 Wellness Pain & Associates Inc Clinic/Center 2000 Crawford Ste1600, Houston, TX 77002 2016-09-01
1699140327 Dcoa Physician Associates, Pa Internal Medicine 1819 Labranch, Houston, TX 77002 2015-12-07
1659740165 Mark Dickason Reimer Family Medicine 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 2015-09-15
1588043053 Monique Lacole Lee Chiropractor 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 2015-05-29
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447865936 Zhuoxuan Judy Cai Student in an Organized Health Care Education/Training Program 1400 Pressler St Fl 7703015, Houston, TX 77030-3722 2020-09-10
1255946109 Idris Abdullah Badruddin Student in an Organized Health Care Education/Training Program 7911 Lawn Wood Ln, Houston, TX 77086-2325 2020-09-08
1427669209 Omar Ahmed Student in an Organized Health Care Education/Training Program 7500 Cambridge St # 6510, Houston, TX 77054-2032 2020-08-13
1245840503 Punit Pala Student in an Organized Health Care Education/Training Program 1550 Lakeside Enclave Dr, Houston, TX 77077-1684 2020-08-03
1932719374 Atteeba Manzar Student in an Organized Health Care Education/Training Program 6550 Fannin St Ste 1661, Houston, TX 77030-2765 2020-07-31
1619595204 Noah Collaco Student in an Organized Health Care Education/Training Program 3110 Gannett St, Houston, TX 77025-3826 2020-07-09
1629696273 Esraa Elsamny Student in an Organized Health Care Education/Training Program 7676 Phoenix Dr Apt 1523, Houston, TX 77030-4725 2020-07-09
1194343988 Melanie Leigh Painter Student in an Organized Health Care Education/Training Program 1505 City Nights Way, Houston, TX 77047-3405 2020-07-08
1467079608 Emmanuella Adetoro Oduguwa Student in an Organized Health Care Education/Training Program 10918 Ranier Dr, Houston, TX 77031-1835 2020-07-04
1366069288 Jacob Charles Kinskey Student in an Organized Health Care Education/Training Program Attn: Jacob Kinskey, Dept. of Pathology, 6550 Fannin St Ste Sm383, Houston, TX 77030-2717 2020-06-26
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77002

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Dataset Information

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.

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