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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
073470 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053893198 | Mary Elizabeth Blackburn | Developmental Therapist | 168 W County Road 500 N, Logansport, IN 46947-8662 | 2018-09-05 |
| 1518515410 | Mary Catherine Blackburn | Specialist/Technologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2019-09-04 |
| 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 |
| Street Address |
851 E 5TH ST SUITE 154 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-3135 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| 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 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
Please comment or provide details below to improve the information on MARY CLARE 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.