MARY CATHERINE BLACKBURN


Address: 9385 W Donald Dr, Peoria, AZ 85383-2988
Phone: 6029101409

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).

Provider Overview

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

Taxonomy

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

Other Providers MARY BLACKBURN

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

Office Location

Street Address 9385 W DONALD DR
City PEORIA
State AZ
Zip Code 85383-2988

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PEORIA
Zip Code 85383

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Dataset Information

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.

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