KIMBERLY BLACKBURN (NPI# 1710060736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710060736 |
| Entity Type | Individual |
| Full Name | KIMBERLY BLACKBURN |
| Practice Address |
10456 Us Highway 62 Calvert City KY 42029-9020 |
| Practice Telephone | 2708986288 |
| Mailing Telephone | 2708986288 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790748713 | Kimberly Ann Blackburn | Specialist/Technologist | 3301 N Park Blvd, Beaumont School, Cleveland Heights, OH 44118-4258 | 2006-04-10 |
| 1497393474 | Kimberly Blackburn | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2019-12-20 |
| 1467886135 | Kimberly Ann Blackburn | Social Worker | 110 Maple St, Springfield, MA 01105-1864 | 2013-08-29 |
| Street Address |
10456 US HIGHWAY 62 |
| City | CALVERT CITY |
| State | KY |
| Zip Code | 42029-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619218385 | Lp Calvert City, LLC | Skilled Nursing Facility | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2013-03-06 |
| 1740437607 | Dawn Brooks | Occupational Therapy Assistant | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2008-08-22 |
| 1194972067 | Jeannie Diane Downs | Speech-Language Pathologist | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2008-08-22 |
| 1164679072 | Amanda Michelle Travis | Physical Therapy Assistant | 10456 Us Highway 62, Calvert City, KY 42029 | 2008-08-21 |
| 1316194343 | Lauren Renee Coomer | Occupational Therapist | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2008-08-21 |
| 1336301464 | Mary Jo Sprouse | Physical Therapist | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619497179 | Sunetta Barrett | Registered Nurse | 563 East 5th Ave, Calvert City, KY 42029 | 2017-06-26 |
| 1649790882 | Cynthia Jill Landon | Registered Nurse | 3110 Hwy 95, Calvert City, KY 42029 | 2017-06-20 |
| 1285018564 | Jason Doughty | Physical Therapy Assistant | 186 Breeze Lane, Calvert City, KY 42029 | 2015-07-16 |
| 1104127125 | Gary Webster Smith | Dentist | 404 Fifth Ave., Calvert City, KY 42029 | 2010-11-08 |
| 1750694972 | Marshall County Health Department | Public Health or Welfare | 503 A 5th Ave S.e., Calvert City, KY 42029 | 2010-07-16 |
| 1578727491 | Jenny Sanderson Story | Speech-Language Pathologist | 110 Convalescent Dr, Calvert City, KY 42029 | 2008-07-10 |
| 1285897678 | Michele Christine Stariwat | Occupational Therapy Assistant | 110 Convalescent Drive, Calvert City, KY 42029 | 2008-07-07 |
| 1194986984 | Scott C Stephenson | Chiropractor | 1665 Oak Park Boulevard, Suite A, Calvert City, KY 42029 | 2008-06-24 |
| 1477735694 | John P Lyles Optometrist | Optometrist | 43 Industrial Parkway, Calvert City, KY 42029 | 2007-11-29 |
| 1528254299 | Andrea Norenne Jennings | Massage Therapist | 5119 U.S. Highway 62, Calvert City, KY 42029 | 2007-09-17 |
| Find all providers in zip 42029 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1841899036 | Minjoo Bayers | Counselor | 1400 Willow Ave Apt 1701, Louisville, KY 40204-1470 | 2020-10-20 |
| 1104425594 | Tracy Chaney Oldaker | Counselor | 1310 Mark Trail Rd, Louisville, KY 40242-3612 | 2020-10-19 |
| 1295341857 | Abiding Hope Counseling, Pllc | Counselor | 11520 Hodgenville Rd, Campbellsville, KY 42718-9116 | 2020-09-18 |
| 1598370819 | Creating Boundaries, LLC | Counselor | 200 E Main St Ste 208, Richmond, KY 40475-1628 | 2020-09-14 |
| 1285249839 | Megan Brown | Counselor | 611 Hampton Way Apt 2, Richmond, KY 40475-8234 | 2020-09-10 |
| 1942813282 | Marcy Drake | Counselor | 1200 Larkwood Dr, Mt Sterling, KY 40353-8847 | 2020-08-26 |
| 1811509540 | Nancy Wilson | Counselor | 324 1/2 N 19th St, Middlesboro, KY 40965-1762 | 2020-08-24 |
| 1386255131 | 1st Priority Healthcare LLC | Counselor | 4229 Bardstown Rd Ste 201, Louisville, KY 40218-3286 | 2020-08-14 |
| 1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | CALVERT CITY |
| Zip Code | 42029 |
Please comment or provide details below to improve the information on KIMBERLY 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.