MS. KIMBERLY ANN BLACKBURN (NPI# 1790748713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790748713 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY ANN BLACKBURN |
| Credential | ATC |
| Practice Address |
3301 N Park Blvd Beaumont School Cleveland Heights OH 44118-4258 |
| Mailing Address |
11694 Prospect Rd Strongsville OH 44149-2928 |
| Practice Telephone | 4402233292 |
| Mailing Telephone | 4405720126 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-015 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710060736 | Kimberly Blackburn | Counselor | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2006-10-23 |
| 1497393474 | Kimberly Blackburn | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2019-12-20 |
| 1467886135 | Kimberly Ann Blackburn | Social Worker | 110 Maple St, Springfield, MA 01105-1864 | 2013-08-29 |
| Street Address |
3301 N PARK BLVD BEAUMONT SCHOOL |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44118-4258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982104170 | William Andrew Hart Stotter | Specialist/Technologist | 3301 N Park Blvd, Cleveland Heights, OH 44118-4258 | 2018-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568830370 | Julie Brough | Specialist/Technologist | 3552 Northcliffe Rd, Cleveland Heights, OH 44118-3667 | 2015-09-10 |
| 1710472006 | Michael Singleton | Specialist/Technologist | 2490 Lee Blvd, Cleveland Heights, OH 44118-1268 | 2018-06-28 |
| 1982104170 | William Andrew Hart Stotter | Specialist/Technologist | 3301 N Park Blvd, Cleveland Heights, OH 44118-4258 | 2018-02-14 |
| 1639687429 | Bethany Avramaut | Specialist/Technologist | 13263 Cedar Rd, Cleveland Heights, OH 44118-2926 | 2018-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1497355085 | Stephanie Soja | Specialist/Technologist | 4170 State Route 43, Kent, OH 44240-6916 | 2020-11-01 |
| 1518566769 | Hannah Dawn Bailey | Specialist/Technologist | 42338 State Route 7, Coolville, OH 45723-9519 | 2020-10-20 |
| 1790384949 | Erin Ball | Specialist/Technologist | 1121 Faircrest St Sw, Canton, OH 44706-4850 | 2020-10-20 |
| 1427657675 | Kacie Lucille Leppla | Specialist/Technologist | 6471 Township Road 346, Millersburg, OH 44654 | 2020-10-20 |
| 1144828815 | Sarah Abelseth | Specialist/Technologist | 2547 Panther Dr Ne, New Lexington, OH 43764-1396 | 2020-10-14 |
| 1235737511 | Kayla Marie Bartlett-ulrich | Specialist/Technologist | 1 University Dr # 128, Bluffton, OH 45817-2104 | 2020-10-09 |
| 1417554981 | Abbigayle Gesler | Specialist/Technologist | 1211 Oakridge Ct, Wapakoneta, OH 45895-9464 | 2020-10-07 |
| 1851998421 | Olivia A Saflund | Specialist/Technologist | 9514 Reiger Rd, Berlin Heights, OH 44814-9644 | 2020-10-06 |
| 1215534151 | Lideja White | Specialist/Technologist | 12507 Marston Ave, Cleveland, OH 44105-5452 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44118 |
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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.