ERIN ELIZABETH BLACKBURN (NPI# 1902411317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902411317 |
| Entity Type | Individual |
| Full Name | ERIN ELIZABETH BLACKBURN |
| Credential | LAT, ATC |
| Practice Address |
260 E Army Trail Rd Ste D Bartlett IL 60103-3005 |
| Practice Telephone | 6308308600 |
| Mailing Telephone | 6308308600 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096003476 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154730547 | Erin Blackburn | Counselor | 2518 Wallace Ave, #2, Louisville, KY 40205-2240 | 2014-08-11 |
| 1134770530 | Erin Blackburn | Case Manager/Care Coordinator | 111 Westfall Rd, Rochester, NY 14620-4647 | 2019-09-26 |
| 1821509878 | Erin Louise Blackburn | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2017-10-17 |
| 1225443484 | Erin Blackburn | Pediatrics | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2014-06-26 |
| 1528373255 | Erin Renee Blackburn | Nurse Practitioner | 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787-5050 | 2010-08-18 |
| 1043485204 | Erin L. Blackburn | Audiologist | 55 Vilcom Center Dr, Chapel Hill, NC 27514 | 2008-04-28 |
| Street Address |
260 E ARMY TRAIL RD STE D |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972613875 | Michael C Calcagno | Chiropractor | 260 E Army Trail Rd Ste D, Bartlett, IL 60103-3005 | 2006-08-30 |
| 1437776168 | Courtney Rhea Tressel | Physical Therapist | 260 E Army Trail Rd Ste D, Bartlett, IL 60103-3005 | 2020-06-29 |
| 1629507421 | Griffin Gibson | Chiropractor | 260 E Army Trail Rd Ste D, Bartlett, IL 60103-3005 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| 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 |
|---|---|---|---|---|
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1871057919 | Jackelyn R Delamora | Specialist/Technologist | 1787 Lanyon Dr, Bartlett, IL 60103-2322 | 2019-01-23 |
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1003308529 | Elizabeth Longo | Specialist/Technologist | 5756 Redford Cv, Bartlett, TN 38135-1408 | 2018-05-31 |
| 1295122489 | Kelly Howard | Specialist/Technologist | 3110 Milkyway Dr, Bartlett, TN 38134-2828 | 2015-04-25 |
| 1780071266 | Stephanie Gebbia | Specialist/Technologist | 1478 Newcastle Ln, Bartlett, IL 60103-8932 | 2015-04-22 |
| 1932590734 | Taeopae Wetterman | Specialist/Technologist | 993 Apple Valley Dr, Bartlett, IL 60103-5601 | 2015-02-15 |
| 1760699771 | Shawn Matsunaga | Specialist/Technologist | 6557 Sungate Ave., Bartlett, TN 38135-3105 | 2007-05-17 |
| 1548398530 | Nicole Chisholm | Specialist/Technologist | 701 W Schick Rd, Bartlett, IL 60103-3046 | 2007-03-01 |
| 1114487121 | Abby Bouldin | Specialist/Technologist | 701 W Schick Rd, Bartlett, IL 60103-3046 | 2019-03-25 |
| Find all providers in BARTLETT | ||||
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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.