PEGGY BLACKBURN (NPI# 1134544067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134544067 |
| Entity Type | Individual |
| Full Name | PEGGY BLACKBURN |
| Credential | RDH |
| Practice Address |
15802 State Route 104 Chillicothe OH 45601-9701 |
| Mailing Address |
933 Glenn Ave Washington Court House OH 43160-1725 |
| Practice Telephone | 7407747080 |
| Mailing Telephone | 7403330314 |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2014-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 005877 | OH | Dental Providers |
| Street Address |
15802 STATE ROUTE 104 |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699825901 | Christine Lorraine Bumgardner | Registered Nurse | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2007-01-11 |
| 1285107300 | Stephanie Michelle Patterson | Counselor | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2019-01-11 |
| 1699286500 | Alicia Saum | Social Worker | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2017-10-18 |
| 1194252361 | Darren Craig Morrow Sr. | Counselor | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2017-05-17 |
| 1598179459 | Jennifer Kutys | Psychologist | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2014-06-18 |
| 1417361338 | Debra Ann Carrero | Counselor | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320640 | Kimberly Ann Lunsford | Dental Hygienist | 1417 S Beechgrove Rd, Wilmington, OH 45177-9118 | 2020-09-10 |
| 1669984860 | Sheri Jean Bishop | Dental Hygienist | 750 E Long St, Columbus, OH 43203-1846 | 2017-10-27 |
| 1154849487 | Anne Daoust-garcia | Dental Hygienist | 635 N Erie St Rm 272, Toledo, OH 43604-5317 | 2017-09-07 |
| 1760849566 | Deborah Miller | Dental Hygienist | 258 E Market St Ste 327, Warren, OH 44481-1203 | 2016-01-25 |
| 1699132084 | Allison Neal | Dental Hygienist | 5999 State St, Albany, OH 45710-9285 | 2016-01-15 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1346638343 | Amy Beth Diddle | Dental Hygienist | 47445 Morning Star Rd, Racine, OH 45771-8808 | 2014-12-30 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1366845190 | Rhonda Mahan | Dental Hygienist | 635 W 7th St Ste 405, Cincinnati, OH 45203-1549 | 2014-10-07 |
| 1548663040 | Janice Large | Dental Hygienist | 675 Price Rd, Newark, OH 43055-9506 | 2014-09-29 |
| Find all providers with the same taxonomy | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
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| 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.