DR. DAVID R BLACKBURN (NPI# 1184647646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184647646 |
| Entity Type | Individual |
| Full Name | DR. DAVID R BLACKBURN |
| Credential | PH.D. |
| Practice Address |
2401 S 31st St Temple TX 76508-0001 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547242111 |
| Mailing Telephone | 8009940371 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2-4089 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | P000K72N6 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942495320 | David Paul Blackburn | Dentist | 3131 S. State Route 291, Suite A, Independence, MO 64057 | 2007-09-10 |
| 1245233360 | David Blackburn | Radiology | 306 Hospital Dr, Corsicana, TX 75110 | 2005-05-23 |
| 1295239408 | David Blackburn | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2018-03-21 |
| 1922123702 | David Blackburn | Social Worker | 6355 Woodside Ct, Columbia, MD 21046-1071 | 2007-03-20 |
| 1316905946 | David L. Blackburn | Emergency Medicine | 1020 Hwy 16 S, Fredericksburg, TX 78624-4471 | 2006-05-03 |
| Street Address |
2401 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
| Find all providers in zip 76508 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194821124 | Holly Denise Garner | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2006-09-16 |
| 1801905765 | Helen Minette Beckner | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800537 | Paige Freeman | Psychologist | 22 E Shady Ln # E, Houston, TX 77063-1302 | 2020-11-01 |
| 1316544471 | Jermaine Berry | Psychologist | 2314 Kenworthy Dr, Missouri City, TX 77459-2104 | 2020-10-01 |
| 1437762762 | Soul's Retreat, Pllc | Psychologist | 232 Phelps Ave, Littlefield, TX 79339-3428 | 2020-08-26 |
| 1467064741 | Samantha Morel | Psychologist | 26310 Oak Ridge Dr Ste 37, Spring, TX 77380-3777 | 2020-08-19 |
| 1750992400 | Laura Portner | Psychologist | 1106 Clayton Ln Ste 522w, Austin, TX 78723-2489 | 2020-08-14 |
| 1841817939 | Meghan Roche | Psychologist | 5880 Inwood Dr Apt 1034, Houston, TX 77057-3207 | 2020-07-06 |
| 1215554654 | Nathan Andrew Miller | Psychologist | 11207 Dublin Ldg, San Antonio, TX 78254-5468 | 2020-07-01 |
| 1629695291 | Beryl D Southall | Psychologist | 3986 County Road 454, El Campo, TX 77437-6640 | 2020-06-30 |
| 1881211860 | Justin Litvin | Psychologist | 5569 Annie Creek Rd, Fort Worth, TX 76126-9536 | 2020-06-25 |
| 1104441609 | Claudia Patricia De La Torre | Psychologist | 4509 Vermont Ave, Mcallen, TX 78503-7319 | 2020-06-10 |
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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.