MARY CATHERINE BLACKBURN (NPI# 1518515410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518515410 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE BLACKBURN |
| Credential | SLPA |
| Practice Address |
9385 W Donald Dr Peoria AZ 85383-2988 |
| Mailing Address |
1625 N Date Apt 2 Mesa AZ 85201-2158 |
| Practice Telephone | 6029101409 |
| Mailing Telephone | 9283864039 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053893198 | Mary Elizabeth Blackburn | Developmental Therapist | 168 W County Road 500 N, Logansport, IN 46947-8662 | 2018-09-05 |
| 1003130360 | Mary Clare Blackburn | Registered Nurse | 851 E 5th St, Suite 154, Washington, MO 63090-3135 | 2010-03-16 |
| 1699930628 | Mary Zoe Blackburn | Clinical Nurse Specialist | 351 Cypress Creek Rd, Suite 201, Cedar Park, TX 78613-4528 | 2008-07-18 |
| 1811988355 | Mary Blackburn | Advanced Practice Midwife | 1633 N Capitol Ave, Suite 500, Indianapolis, IN 46202-1261 | 2005-11-03 |
| Street Address |
9385 W DONALD DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013973544 | Laura Christine Hinners | Speech-Language Pathologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2006-04-24 |
| 1790399830 | Stefani Dionne Smith | Specialist/Technologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2020-09-05 |
| 1700497138 | Jennifer Carolina Escobar | Specialist/Technologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2020-08-10 |
| 1427667369 | Chastina Smith | Specialist/Technologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2020-07-27 |
| 1346882701 | Monica Y Sheard | Specialist/Technologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2019-10-16 |
| 1902389661 | Meredith Coleman | Speech-Language Pathologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2018-09-10 |
| 1831678564 | Kahili Marie Southworth | Specialist/Technologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2018-08-13 |
| 1275011843 | Elissa Fjeldheim | Occupational Therapist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2018-08-05 |
| 1568968568 | Nicole Gildersleeve | Specialist/Technologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2018-03-30 |
| 1619471539 | Ruby Moreno | Specialist/Technologist | 9385 W Donald Dr, Peoria, AZ 85383-2988 | 2018-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160893 | Suzanne L Atkinson | Specialist/Technologist | 12120 W Briles Rd, Peoria, AZ 85383-5823 | 2020-09-29 |
| 1851923254 | Samantha Gutierrez2 | Specialist/Technologist | 7241 W Crabapple Dr, Peoria, AZ 85383-7217 | 2020-02-04 |
| 1477183283 | Ellen M Evans | Specialist/Technologist | 22423 N 91st Dr, Peoria, AZ 85383-4160 | 2020-01-21 |
| 1578112777 | Jessica Ashenbrener | Specialist/Technologist | 29302 N 67th Dr, Peoria, AZ 85383-3014 | 2019-09-10 |
| 1831743418 | Brittany Smith | Specialist/Technologist | 8567 W Andrea Dr, Peoria, AZ 85383-3886 | 2019-07-31 |
| 1689227910 | Tatum Renee Bixler | Specialist/Technologist | 8797 W Hatfield Rd, Peoria, AZ 85383-1853 | 2019-07-16 |
| 1710458443 | Alice L Williams | Specialist/Technologist | 8765 W Kelton Ln Ste 100, Peoria, AZ 85382-5008 | 2018-12-06 |
| 1730660390 | Brittany Marianne Eberson | Specialist/Technologist | 7314 W Aster Dr, Peoria, AZ 85381-5383 | 2018-08-22 |
| 1770076143 | Alyssa Janae Homsey | Specialist/Technologist | 8251 W Thunderbird Rd Ste 180, Peoria, AZ 85381-4620 | 2018-06-11 |
| 1003317249 | Jayme Russell | Specialist/Technologist | 25124 N 68th Dr, Peoria, AZ 85383-7112 | 2018-02-22 |
| Find all providers in PEORIA | ||||
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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.