MICHAEL BLACKBURN (NPI# 1114071891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114071891 |
| Entity Type | Individual |
| Full Name | MICHAEL BLACKBURN |
| Credential | BA, RC, MFA |
| Practice Address |
505 29th St Se Chartley House Auburn WA 98002-7541 |
| Mailing Address |
2600 Sw Holden St Seattle WA 98126-3505 |
| Practice Telephone | 2538767650 |
| Practice Fax Number | 2538767651 |
| Mailing Telephone | 2069337299 |
| Mailing Fax Number | 2069337250 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
RC00025589 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225236284 | Michael Blackburn | Pharmacist | 30 Foxmoor Dr, Maryville, IL 62062-6731 | 2007-07-10 |
| 1063429652 | Michael Gregory Blackburn | Internal Medicine | 201 15th Ave Sw Ste C, Puyallup, WA 98371-7495 | 2006-08-03 |
| 1649641515 | Michael Blackburn | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2015-10-16 |
| 1619389525 | Michael Alan Blackburn | Family Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416 | 2014-05-27 |
| 1114277662 | Michael Todd Blackburn | Speech-Language Pathologist | 502 4th St Ne, Auburn, WA 98002-5020 | 2012-09-12 |
| 1205057296 | Michael Howard Blackburn | Specialist/Technologist | 210 Sports Dr, Big Rapids, MI 49307-2741 | 2007-05-01 |
| 1639134679 | Michael Lowell Blackburn | Physician Assistant | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2006-04-20 |
| 1538144399 | Michael D Blackburn | Optometrist | 4960 Valleydale Rd, Suite 201, Birmingham, AL 35242-4613 | 2005-12-14 |
| Street Address |
505 29TH ST SE CHARTLEY HOUSE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-7541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821159740 | Dixie Masnov | Counselor | 505 29th St Se, Auburn, WA 98002-7541 | 2006-12-13 |
| 1356965065 | Patrick Diallo | Counselor | 505 29th St Se, Auburn, WA 98002-7541 | 2020-05-29 |
| 1336701523 | Estrella Asuncion Domingo | Counselor | 505 29th St Se, Auburn, WA 98002-7541 | 2019-07-08 |
| 1053971234 | Sound | Community Based Residential Treatment Facility, Mental Illness | 505 29th St Se, Auburn, WA 98002-7541 | 2019-06-19 |
| 1376107987 | Arleen Susan Chavez | Licensed Practical Nurse | 505 29th St Se, Auburn, WA 98002-7541 | 2019-04-29 |
| 1801450424 | Isaac Ngugi | Licensed Practical Nurse | 505 29th St Se, Auburn, WA 98002-7541 | 2019-04-29 |
| 1104380724 | Winifred Nandawula | Counselor | 505 29th St Se, Auburn, WA 98002-7541 | 2019-01-28 |
| 1164996773 | Jazmine Trevino | Counselor | 505 29th St Se, Auburn, WA 98002 | 2019-01-16 |
| 1801360789 | Collette Anjorie Brackett | Counselor | 505 29th St Se, Auburn, WA 98002-7541 | 2019-01-14 |
| 1902376940 | David Hyuk Kim | Registered Nurse | 505 29th St Se, Auburn, WA 98002-7541 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552864 | Nicole Beth Williams | Counselor | 701 High St Ste 205, Auburn, CA 95603-4734 | 2020-06-09 |
| 1801432547 | Cynthia Karen Bowman | Counselor | 240 Ginger Dr, Auburn, CA 95603-5714 | 2019-11-18 |
| 1477197432 | Monica R Molt | Counselor | 166 N Gay St Ste 21, Auburn, AL 36830-2004 | 2019-11-03 |
| 1902454291 | Sherry Monteith | Counselor | 178 Court St, Auburn, ME 04210-6917 | 2019-08-29 |
| 1861976813 | Joanna Hardman Treadwell | Counselor | 923 Stage Rd Ste M, Auburn, AL 36830-5157 | 2018-09-15 |
| 1851877963 | Morgan Jenkins | Counselor | 318 N College St Ste C, Auburn, AL 36830-3815 | 2018-07-12 |
| 1023594207 | Cynthia Caroline Williams | Counselor | 48 Sword St Ste 101, Auburn, MA 01501-2162 | 2018-07-11 |
| 1376032730 | Cindra Ann Jones | Counselor | 230 Auburn Way S Ste 1&2b, Auburn, WA 98002-5451 | 2018-05-01 |
| 1720585557 | Albert Walter Thomas | Counselor | 355 N College St, Auburn, AL 36830-3814 | 2018-04-09 |
| 1558874222 | Laura Dawn Logan | Counselor | 145 Fulweiler Ave Ste 200, Auburn, CA 95603-4536 | 2017-11-15 |
| Find all providers in AUBURN | ||||
Please comment or provide details below to improve the information on MICHAEL 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.