MR. JOHN DONALD BLACKBURN II (NPI# 1700417490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700417490 |
Entity Type | Individual |
Full Name | MR. JOHN DONALD BLACKBURN II |
Practice Address |
1995 Thunder Rd Eagle Lake FL 33839-3086 |
Mailing Address |
367 Holly Ridge Rd Winter Haven FL 33880-1114 |
Practice Telephone | 8632244085 |
Mailing Telephone | 8632244085 |
Enumeration Date | 2020-01-31 |
Last Update Date | 2020-01-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
5880 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164490801 | John Stephen Blackburn | Nurse Anesthetist, Certified Registered | 7210g Broad River Rd, Irmo, SC 29063-7972 | 2006-03-09 |
1396741575 | John Roberts Blackburn | Urology | 719 W Coke Rd, Ste 2, Winnsboro, TX 75494-3060 | 2005-06-22 |
1841511037 | John W Blackburn | Anesthesiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2010-06-22 |
1215168604 | John C Blackburn | Counselor | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2009-08-03 |
1891970901 | John D. Blackburn | Physical Therapist | 500 Porter Ave, Aurora, MO 65605-2365 | 2008-01-08 |
1093777864 | John Devin Blackburn | Optometrist | 7409 N Cedar Ave, #103, Fresno, CA 93720-3836 | 2006-04-05 |
Street Address |
1995 THUNDER RD |
City | EAGLE LAKE |
State | FL |
Zip Code | 33839-3086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194841056 | Jennifer L Griffith | Physical Therapy Assistant | 260 South Shore Dr., Eagle Lake, FL 33839 | 2007-03-22 |
1497205512 | Kristina Garcia | General Acute Care Hospital | 200 Vista View Ave, Eagle Lake, FL 33839-3264 | 2016-10-13 |
1124569165 | Maranda Gardner | Home Health Aide | 2272 Clover Ridge Ct, Eagle Lake, FL 33839-3917 | 2017-03-09 |
1184962607 | Darmecia Mckay | Occupational Therapist | 855 Eagle Lake Loop Rd W, Eagle Lake, FL 33839-5619 | 2013-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023598737 | Patricia Marie Eagle | Occupational Therapy Assistant | 535 S Austin Rd, Eagle Lake, TX 77434-3001 | 2018-08-21 |
1013418466 | Linda Harris | Technician | 1776 Strickland Ln, Eagle Lake, TX 77434-7082 | 2018-02-21 |
1346758208 | Rachelle Shorter | Home Health | 818 E D St, Eagle Lake, TX 77434-2628 | 2018-01-12 |
1144748427 | Jessica Capri Smolik | Nurse Practitioner | 600 Austin Rd, Eagle Lake, TX 77434-1510 | 2017-09-06 |
1851821763 | Brenda Joyce Cunningham | Nursing Home Administrator | 1798 Strickland Ln, Eagle Lake, TX 77434-7082 | 2017-06-13 |
1124569165 | Maranda Gardner | Home Health Aide | 2272 Clover Ridge Ct, Eagle Lake, FL 33839-3917 | 2017-03-09 |
1497205512 | Kristina Garcia | General Acute Care Hospital | 200 Vista View Ave, Eagle Lake, FL 33839-3264 | 2016-10-13 |
1477920080 | Lynne Pelletier | Registered Nurse | 24 Simard Lane, Eagle Lake, ME 04739-0307 | 2015-08-31 |
1619362167 | Elena Marie Hernandez-lee | Registered Nurse | 409 Linda Dr, Eagle Lake, MN 56024-9618 | 2015-04-01 |
1376940171 | Abdulahi Osman | Contractor | 248 Oak Dr, Eagle Lake, MN 56024-3404 | 2014-11-24 |
Find all providers in EAGLE LAKE |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
1750988838 | Jade Shields | Specialist/Technologist | 144 Enrede Ln, Saint Augustine, FL 32095-7436 | 2020-10-02 |
1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
Find all providers with the same taxonomy |
City | EAGLE LAKE |
Zip Code | 33839 |
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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.