KIMBERLY SUZZANE BLACKWELL (NPI# 1013098342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013098342 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUZZANE BLACKWELL |
| Credential | PA-C |
| Practice Address |
8326 Naab Rd Indianapolis IN 46260-1920 |
| Practice Telephone | 3178710000 |
| Practice Fax Number | 3178710010 |
| Mailing Telephone | 3178710000 |
| Mailing Fax Number | 3178710010 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000609A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720161946 | Kimberly L Blackwell | Internal Medicine | Duke South I Trent Dr, Campus Box 3893, Durham, NC 27710-0001 | 2006-10-23 |
| 1215546338 | Kimberly Blackwell | Behavior Technician | 3717 Boston St # 148, Baltimore, MD 21224-5752 | 2020-07-24 |
| 1790325074 | Kimberly Jordan Blackwell | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-01-14 |
| Street Address |
8326 NAAB RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659364800 | Indiana Hemophilia & Thrombosis Center, Inc. | Home Infusion | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2005-08-23 |
| 1841765286 | Stephanie Garrison | Nurse Practitioner | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2018-10-12 |
| 1154799039 | Brittany Savage | Nurse Practitioner | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2015-09-09 |
| 1073991501 | Audrey Wagaman | Physician Assistant | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2015-05-17 |
| 1225422181 | Indiana Hemophilia & Thrombosis Center, Inc | Pharmacy | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2015-03-27 |
| 1891183992 | Jessica Taylor | Nurse Practitioner | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2014-12-26 |
| 1124446984 | Kyle Andrew Davis | Pediatrics | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2014-03-30 |
| 1962848507 | Andrew Ross Wickman O'brien | Internal Medicine | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2013-05-21 |
| 1538402565 | Vaibhav Agrawal | Internal Medicine | 8326 Naab Rd, Indianapolis, IN 46260 | 2013-03-27 |
| 1033461983 | Sarah Ashley Hall | Physician Assistant | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1639797004 | John Padraic Allbritton | Physician Assistant | 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 | 2020-07-11 |
| 1154949907 | Jonathon Michael Hirsch | Physician Assistant | 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 | 2020-07-08 |
| 1437776838 | Megan Leanna Reynolds | Physician Assistant | 3841 Rookwood Ave, Indianapolis, IN 46208-3926 | 2020-07-01 |
| 1669099412 | Alisa Elaine Schrump | Physician Assistant | 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 | 2020-06-28 |
| 1144846148 | Melanie M. Herrold | Physician Assistant | 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 | 2020-06-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on KIMBERLY SUZZANE BLACKWELL.
| 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.