MS. MICHELLE ANNE BLACKBURN (NPI# 1437686466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437686466 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE ANNE BLACKBURN |
| Credential | OT/L |
| Practice Address |
77 S Canaan Rd Canaan CT 06018-2517 |
| Mailing Address |
22 Windmill Springs Drive Granby CT 06035 |
| Practice Telephone | 8608242600 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 001067 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
001067 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578111514 | Michelle Lee Blackburn | Nurse Practitioner | 937 Meathouse Fork Rd, Canada, KY 41519 | 2019-09-03 |
| Street Address |
77 S CANAAN RD |
| City | CANAAN |
| State | CT |
| Zip Code | 06018-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038331 | Lisa Beth Westerson | Social Worker | 187 South Canaan Road, Canaan, CT 06018 | 2016-04-20 |
| 1245609361 | Chelsi Flood | Counselor | 187 South Canaan Rd, Canaan, CT 06018 | 2015-09-18 |
| 1437539434 | Karen Browning | Physical Therapist | 99 South Canaan Rd, Canaan, CT 06018 | 2015-06-04 |
| 1366871147 | Sophia Hartell | Acupuncturist | Route 7, Box 717, Canaan, CT 06018 | 2013-11-02 |
| 1083883177 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 Route 7, Canaan, CT 06018 | 2008-02-22 |
| 1962527762 | Thomas Livingstone | Dentist | 3 Railroad St., Canaan, CT 06018 | 2007-03-20 |
| 1396271557 | Joycelyn Faraj | Dietitian, Registered | Route 7, Box 717, Canaan, CT 06018 | 2017-05-10 |
| 1023423399 | Housatonic Valley Dental Care | Clinic/Center | 60 Church Street, Canaan, CT 06018 | 2014-06-25 |
| 1205049392 | Donald T Martin | Dentist | 100 Main Street, Canaan, CT 06018 | 2007-05-07 |
| 1326128331 | Jane Erin Simonds | Physical Therapist | 99 South Canaan Road, Canaan, CT 06018 | 2006-10-16 |
| Find all providers in zip 06018 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073911574 | Shobha Neupane | Occupational Therapist | 778 Middlebury Rd, Middlebury, CT 06762-2401 | 2014-12-15 |
| 1952682114 | Julie Margaret Fasolino | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2011-09-01 |
| 1497875645 | Heather Dupree Vines-dubose | Occupational Therapist | 698 West Ave, Norwalk, CT 06850-3302 | 2007-03-30 |
Please comment or provide details below to improve the information on MS. MICHELLE ANNE 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.