MRS. AMANDA J. BLACKBURN


Address: 1484 Lakeside Dr, Jackson, KY 41339-6555
Phone: 6066669950

MRS. AMANDA J. BLACKBURN (NPI# 1912994260) 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) 1912994260
Entity Type Individual
Full Name MRS. AMANDA J. BLACKBURN
Other Name MS. AMANDA J. LAWSON
Credential PA-C
Practice Address 1484 Lakeside Dr
Jackson
KY 41339-6555
Mailing Address Po Box 690
Beattyville
KY 41311-0690
Practice Telephone 6066669950
Practice Fax Number 6066669136
Mailing Telephone 6064640151
Mailing Fax Number 6064640152
Enumeration Date 2005-10-03
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine PA804 KY Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant PA804 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 950041230 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
125 Main St, Beattyville, KY 413117484 6064642401 6064643290
202 Plummer St, Campton, KY 413019381 6066687385 6066687009
38 J F Green St, Sandy Hook, KY 411717134 6067385545 6067385405
713 Broadway St Ste 203, Paintsville, KY 412401612 (606) 789-4949 6067897690
905 Main St, West Liberty, KY 414721023 6067434808 6067434716

Other Providers AMANDA BLACKBURN

NPI Name Taxonomy Address Enumeration
1447563952 Amanda Blackburn Pharmacist 1420 W Stone Dr, Kingsport, TN 37660-2522 2010-07-26
1922328319 Amanda L Blackburn Counselor 401 E Chestnut St, Suite 610, Louisville, KY 40202-5700 2010-06-08
1104156850 Amanda Blackburn Counselor 1815 Mccallie Ave, Chattanooga, TN 37404-3026 2009-12-31

Office Location

Street Address 1484 LAKESIDE DR
City JACKSON
State KY
Zip Code 41339-6555

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861091886 Jennifer Lynn Dickey Nurse Practitioner 1484 Lakeside Dr, Jackson, KY 41339-6555 2020-10-21
1750908075 Lin Peng Dentist 1484 Lakeside Dr, Jackson, KY 41339-6555 2020-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890662 Angela Shawn Bradley Pharmacist 1589 Ky Hwy 15 South, Jackson, KY 41339 2020-10-30
1871191734 Ranita Greer Pharmacist 59 Ky-15 N, Jackson, KY 41339 2020-10-13
1336763135 Jill Elaine Beattie Green Occupational Therapist 100 Ky-15, Jackson, KY 41339 2020-06-08
1023641446 Andreanna Gibbs Physical Therapy Assistant 100 Hwy 15, Jackson, KY 41339 2020-02-13
1144797754 Visionary Rehabilitation Services, LLC Speech-Language Pathologist 100 Kentucky Hwy 15 South, Suite 136, Jackson, KY 41339 2018-11-01
1477081206 Trending Upwards Counselor 1754 Highway 15 N, Jackson, KY 41339 2017-05-24
1508225996 Jessica Williams Pharmacist 842 Highway 15 N, Jackson, KY 41339 2016-02-15
1245637255 Breathitt County Ambulance, Inc. Ambulance 440 Highway 1812 North, Jackson, KY 41339 2014-11-20
1265784045 Jonathan Charles Morris Physical Therapist 695 Ky Hwy 15 N, Ste 3, Jackson, KY 41339 2012-10-04
1649539958 Henry Price Sewell IIi IIi Family Medicine 170 Picnic Hill Rd, Jackson, KY 41339 2012-05-07
Find all providers in zip 41339

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942834494 Emily Amburn Physician Assistant 2968 N Highland Ave, Jackson, TN 38305-3409 2020-02-24
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1972161891 Allison Taylor Physician Assistant 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 2019-06-05
1306302328 Chloe A Goldfarb Physician Assistant 21 Shoal Rd, Jackson, NJ 08527-4025 2019-02-14
1447722558 Casey James Elliott Physician Assistant 747 Oakwood St, Jackson, MS 39202-1121 2018-12-31
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1982194551 Samantha Lynn Denoville Physician Assistant 1 Kensington Ct, Jackson, NJ 08527-1292 2018-05-18
1104320308 Dalton Glenn Weaver Physician Assistant 708 N Highland Ave, Jackson, TN 38301-4829 2018-03-21
1336669258 Whitney J Peterson Physician Assistant 501 Marshall St Ste 301, Jackson, MS 39202-1687 2017-06-21
1922541093 Jacob Carpenter Physician Assistant 2497 N West St, Jackson, MS 39216-4409 2016-11-22
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 41339

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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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