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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 950041230 | 05 |
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 |
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 |
Street Address |
1484 LAKESIDE DR |
City | JACKSON |
State | KY |
Zip Code | 41339-6555 |
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 |
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 Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
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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.