MARY CLARE BLACKBURN


Address: 851 E 5th St, Suite 154, Washington, MO 63090-3135
Phone: 6362398248

MARY CLARE BLACKBURN (NPI# 1003130360) 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) 1003130360
Entity Type Individual
Full Name MARY CLARE BLACKBURN
Credential RN CDE
Practice Address 851 E 5th St
Suite 154
Washington
MO 63090-3135
Practice Telephone 6362398248
Mailing Telephone 6362398248
Enumeration Date 2010-03-16
Last Update Date 2010-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
073470 MO Nursing Service Providers

Other Providers MARY BLACKBURN

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1699930628 Mary Zoe Blackburn Clinical Nurse Specialist 351 Cypress Creek Rd, Suite 201, Cedar Park, TX 78613-4528 2008-07-18
1811988355 Mary Blackburn Advanced Practice Midwife 1633 N Capitol Ave, Suite 500, Indianapolis, IN 46202-1261 2005-11-03

Office Location

Street Address 851 E 5TH ST
SUITE 154
City WASHINGTON
State MO
Zip Code 63090-3135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790781268 Michelle L Beumer Pediatrics 851 E 5th St, Ste 312, Washington, MO 63090-3130 2005-06-21
1669018602 Sheila Ann Buesking Nurse Practitioner 851 E 5th St, Washington, MO 63090-3135 2019-11-25
1437794898 Amanda Leanna Martin Dietitian, Registered 851 E 5th St, Washington, MO 63090-3135 2019-11-08
1609303460 Minami Ohta Counselor 851 E 5th St, Suite 200, Washington, MO 63090-3135 2017-05-11
1427413467 Alison Hoglan Social Worker 851 E 5th St, Suite 200, Washington, MO 63090-3135 2015-12-17
1760857833 Jillian Poretti Dietitian, Registered 851 E 5th St, Suite 226, Washington, MO 63090-3135 2015-12-01
1942636980 Mercy Clinic Pain Management, LLC Anesthesiology 851 E 5th St, Suite 144, Washington, MO 63090-3135 2013-09-23
1467792523 Marie Bernice Sander Nurse Practitioner 851 E 5th St, Suite 208, Washington, MO 63090-3135 2013-02-26
1215299482 Deborah Bernice Beste Nurse Practitioner 851 E 5th St, Suite 200, Washington, MO 63090-3135 2012-06-13
1801154489 Feet for Life Centers Inc PC Podiatrist 851 E 5th St, #228, Washington, MO 63090-3135 2012-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831798792 Alicia Caroline Baker Nurse Practitioner 1070 W 7th St, Washington, MO 63090 2020-10-21
1962975839 Jennifer Biermann Pharmacist 801 E 5th Street, Washington, MO 63090 2019-01-03
1487199733 Kristen Elaine Cleavelin Registered Nurse Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 2016-12-22
1699146712 Washington Community Counseling Center Community/Behavioral Health 421 W. 5th Street, Suite 110, Washington, MO 63090 2015-10-15
1598002024 Americare At Vicotrian Manor of Washington, LLC Assisted Living Facility 2701 Rabbit Trail Dr, Washington, MO 63090 2013-01-03
1578824116 Rhonda Ann Pepmiller Nurse Practitioner 851 E 5th St Ste 309, Washington, MO 63090 2012-05-30
1932486032 Julie Joanne Lynch Pharmacist 890 Country Corners, Washington, MO 63090 2011-11-03
1043590839 Laurie Elizabeth Bryson Counselor 102 Elm Street, Suite 204, Washington, MO 63090 2011-08-24
1164737490 Mohan Mallikarjuna Edupuganti Internal Medicine 901 Patients First Dr Ste 2500, Washington, MO 63090 2010-08-11
1154640225 Nicholas W Frederickson Internal Medicine 901 Patients First Drive Suite 3300, Washington, MO 63090 2010-05-27
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679939078 Emily Walker Registered Nurse 100 Tharp Street Suite B, Washington, IN 47501 2016-01-14
1861003881 Walker Wellness & Diabetes Education, LLC Registered Nurse 100 Tharp Street Suite B, Washington, IN 47501-4228 2020-08-13
1053966838 Yolanda M Smith Registered Nurse 110 Irving St Nw, Washington, DC 20010-3017 2019-08-07
1912468406 Geraldine Heneghan Adams Registered Nurse 5100 Wisconsin Ave Nw Ste 401, Washington, DC 20016-4131 2019-03-27
1962878876 Diana Daniel Registered Nurse 2150 Pennsylvania Ave Nw, Suite 3-235, Washington, DC 20037-3201 2015-08-14
1346512100 Patricia Marie Gant Registered Nurse 851 E 5th St, Suite 154 Mercy Medical Building, Washington, MO 63090-3135 2012-02-08
1598094328 Linda Kay Hussey Registered Nurse 851 E 5th St, Washington, MO 63090-3135 2009-12-07
1770771552 Laura L. Carder Registered Nurse 901 E 5th St, Washington, MO 63090-3127 2007-10-05
1912111014 Dana L Hellebusch Registered Nurse 901 Patients First Dr, Washington, MO 63090-4700 2007-05-09
1871710418 Claysville Pharmacy, LLC Registered Nurse 869 Henderson Ave, Washington, PA 15301-1361 2007-04-18
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Competitor

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City WASHINGTON
Zip Code 63090

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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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